Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,981.07 / $6,760.83	Facility		$1,023.29	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $1,659.59	Professional		$602.56	$676.08	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,905.46	Professional		$1,174.90	$1,513.56	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $2,089.30	Professional		$588.84	$912.01	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $17,782.79	Facility		$1,000.00	$1,737.80	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,258.93 / $4,897.79	Professional		$645.65	$1,258.93	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $1,778.28	Professional		$1,258.93	$1,479.11	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,778.28	Professional		$1,230.27	$1,258.93	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,778.28	Professional		$630.96	$912.01	$1,778.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,513.56	Professional		$1,023.29	$1,288.25	$1,513.56