Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,248.07 / $7,943.28	Facility		$1,737.80	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $2,818.38	Professional		$977.24	$1,174.90	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,162.28	Professional		$1,905.46	$2,511.89	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,511.89	Professional		$891.25	$1,479.11	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $11,481.54	Facility		$1,288.25	$2,454.71	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $8,128.31	Professional		$1,071.52	$2,041.74	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,090.30	Professional		$1,949.84	$2,454.71	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $3,090.30	Professional		$2,041.74	$2,089.30	$3,090.30
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 / $1,513.56 / $2,884.03	Professional		$1,023.29	$1,513.56	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,630.27	Professional		$1,778.28	$2,238.72	$2,630.27