Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,786.30 / $7,079.46	Facility		$1,584.89	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,511.89	Professional		$891.25	$1,148.15	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $2,754.23	Professional		$1,819.70	$2,238.72	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $5,128.61	Professional		$954.99	$1,380.38	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $11,481.54	Facility		$1,318.26	$2,344.23	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $11,481.54	Professional		$1,071.52	$2,041.74	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $2,754.23	Professional		$2,137.96	$2,398.83	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,754.23	Professional		$1,995.26	$1,995.26	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $19,498.45	Facility		$8,511.38	$11,748.98	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,884.03	Professional		$1,023.29	$1,548.82	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,344.23	Professional		$1,548.82	$1,949.84	$2,344.23