Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,248.07 / $7,943.28	Facility		$1,096.48	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,778.28	Professional		$630.96	$724.44	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,041.74	Professional		$1,258.93	$1,621.81	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $2,238.72	Professional		$630.96	$977.24	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $8,912.51	Facility		$1,023.29	$1,862.09	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,380.38 / $5,128.61	Professional		$691.83	$1,380.38	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $1,905.46	Professional		$1,380.38	$1,584.89	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $1,905.46	Professional		$1,318.26	$1,348.96	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,905.46	Professional		$676.08	$977.24	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,621.81	Professional		$1,096.48	$1,380.38	$1,621.81