Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,981.07 / $6,760.83	Facility		$1,071.52	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $1,698.24	Professional		$616.60	$707.95	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $1,949.84	Professional		$1,174.90	$1,584.89	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $1,905.46	Professional		$575.44	$933.25	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,659.59 / $9,772.37	Facility		$977.24	$1,659.59	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,230.27 / $5,248.07	Professional		$660.69	$1,230.27	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,819.70	Professional		$1,288.25	$1,548.82	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,819.70	Professional		$1,122.02	$1,318.26	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,511.38 / $11,748.98	Facility		$5,128.61	$8,511.38	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,862.09	Professional		$630.96	$954.99	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,548.82	Professional		$1,047.13	$1,318.26	$1,548.82