Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,786.30 / $7,079.46	Facility		$1,288.25	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,862.09	Professional		$741.31	$977.24	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,398.83	Professional		$1,513.56	$1,905.46	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $3,162.28	Professional		$776.25	$1,096.48	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $14,791.08	Facility		$1,288.25	$2,137.96	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $8,511.38	Professional		$891.25	$1,698.24	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,137.96	Professional		$1,778.28	$2,041.74	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $2,137.96	Professional		$1,819.70	$1,862.09	$2,137.96
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 $812.83 / $1,288.25 / $2,398.83	Professional		$812.83	$1,288.25	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,862.09	Professional		$1,230.27	$1,584.89	$1,862.09