Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $6,606.93 / $8,128.31	Facility		$1,318.26	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $2,089.30	Professional		$776.25	$891.25	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,454.71	Professional		$1,479.11	$1,949.84	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $3,388.44	Professional		$741.31	$1,148.15	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $14,791.08	Facility		$1,096.48	$2,238.72	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,659.59 / $14,791.08	Professional		$851.14	$1,659.59	$14,791.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,290.87	Professional		$1,584.89	$1,905.46	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,290.87	Professional		$1,659.59	$1,659.59	$2,290.87
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 $794.33 / $1,202.26 / $2,344.23	Professional		$794.33	$1,202.26	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,949.84	Professional		$1,288.25	$1,621.81	$1,949.84