Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,235.94 / $6,760.83	Facility		$1,174.90	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,905.46	Professional		$676.08	$794.33	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,187.76	Professional		$1,380.38	$1,737.80	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,398.83	Professional		$691.83	$1,047.13	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $17,378.01	Facility		$1,122.02	$1,995.26	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $6,025.60	Professional		$758.58	$1,479.11	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,041.74	Professional		$1,548.82	$1,778.28	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $2,041.74	Professional		$1,445.44	$1,479.11	$2,041.74
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 $724.44 / $1,071.52 / $2,089.30	Professional		$724.44	$1,071.52	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,737.80	Professional		$1,174.90	$1,479.11	$1,737.80