Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,981.07 / $7,943.28	Facility		$1,148.15	$3,981.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,621.81 / $3,715.35	Professional		$691.83	$1,621.81	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,089.30	Professional		$1,288.25	$1,659.59	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $2,511.89	Professional		$676.08	$1,023.29	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,862.09 / $7,079.46	Facility		$891.25	$1,862.09	$7,079.46
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	AS	$645.65	$645.65	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $4,897.79	Professional		$758.58	$1,412.54	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,949.84	Professional		$1,412.54	$1,659.59	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,862.09	Professional		$1,445.44	$1,445.44	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $8,912.51	Facility		$4,168.69	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,041.74	Professional		$724.44	$1,096.48	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,698.24	Professional		$1,148.15	$1,445.44	$1,698.24