Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,981.07 / $6,760.83	Facility		$1,258.93	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,995.26	Professional		$741.31	$870.96	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,344.23	Professional		$1,479.11	$1,862.09	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $3,019.95	Professional		$758.58	$1,071.52	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $9,772.37	Facility		$1,258.93	$2,089.30	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $6,309.57	Professional		$891.25	$1,698.24	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,089.30	Professional		$1,737.80	$2,041.74	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,819.70 / $2,089.30	Professional		$1,778.28	$1,819.70	$2,089.30
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 $794.33 / $1,258.93 / $2,398.83	Professional		$794.33	$1,258.93	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,819.70	Professional		$1,230.27	$1,548.82	$1,819.70