Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $7,079.46	Facility		$1,202.26	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,905.46	Professional		$691.83	$794.33	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,187.76	Professional		$1,412.54	$1,737.80	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,398.83	Professional		$724.44	$1,047.13	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $9,772.37	Facility		$1,122.02	$1,949.84	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,479.11 / $7,244.36	Professional		$776.25	$1,479.11	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,041.74	Professional		$1,584.89	$1,778.28	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $2,041.74	Professional		$1,584.89	$1,621.81	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,511.38 / $11,748.98	Facility		$5,128.61	$8,511.38	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $2,089.30	Professional		$724.44	$1,122.02	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,737.80	Professional		$1,148.15	$1,479.11	$1,737.80