Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,248.07 / $7,943.28	Facility		$1,659.59	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,630.27	Professional		$954.99	$1,148.15	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,019.95	Professional		$1,905.46	$2,398.83	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $4,073.80	Professional		$954.99	$1,412.54	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $14,454.40	Facility		$1,445.44	$2,754.23	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $10,232.93	Professional		$1,071.52	$2,041.74	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $2,818.38	Professional		$2,238.72	$2,570.40	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,818.38	Professional		$2,187.76	$2,238.72	$2,818.38
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 $977.24 / $1,548.82 / $2,884.03	Professional		$977.24	$1,548.82	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,344.23	Professional		$1,584.89	$1,995.26	$2,344.23