Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,248.07 / $7,943.28	Facility		$1,148.15	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,819.70	Professional		$630.96	$758.58	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,137.96	Professional		$1,288.25	$1,698.24	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $2,238.72	Professional		$660.69	$1,023.29	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $14,454.40	Facility		$1,148.15	$1,862.09	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $5,370.32	Professional		$741.31	$1,348.96	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $1,995.26	Professional		$1,412.54	$1,737.80	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,995.26	Professional		$1,348.96	$1,348.96	$1,995.26
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 $707.95 / $1,071.52 / $2,041.74	Professional		$707.95	$1,071.52	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,659.59	Professional		$1,122.02	$1,412.54	$1,659.59