Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,011.87 / $7,943.28	Facility		$1,174.90	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,862.09	Professional		$676.08	$1,023.29	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $3,019.95	Professional		$1,288.25	$2,137.96	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $5,011.87	Professional		$691.83	$1,258.93	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $12,589.25	Facility		$1,174.90	$1,995.26	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $5,888.44	Professional		$1,000.00	$1,949.84	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,754.23	Professional		$1,659.59	$1,995.26	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,754.23	Professional		$1,412.54	$1,949.84	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,964.78 / $15,848.93	Facility		$7,413.10	$10,964.78	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $2,398.83	Professional		$758.58	$1,230.27	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,344.23	Professional		$1,445.44	$1,698.24	$2,344.23