Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,786.30 / $7,079.46	Facility		$1,659.59	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,630.27	Professional		$954.99	$1,122.02	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,019.95	Professional		$1,862.09	$2,454.71	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $3,388.44	Professional		$977.24	$1,513.56	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $31,622.78	Facility		$1,548.82	$2,630.27	$31,622.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $7,762.47	Professional		$1,047.13	$2,089.30	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $2,884.03	Professional		$2,137.96	$2,398.83	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $2,884.03	Professional		$1,819.70	$2,089.30	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,748.98 / $34,673.69	Facility		$7,413.10	$11,748.98	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,951.21	Professional		$1,023.29	$1,513.56	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,454.71	Professional		$1,621.81	$2,089.30	$2,454.71