Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,370.32 / $7,943.28	Facility		$1,148.15	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,949.84	Professional		$660.69	$776.25	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,238.72	Professional		$1,348.96	$1,778.28	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $2,344.23	Professional		$660.69	$1,071.52	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,698.24 / $9,772.37	Facility		$912.01	$1,698.24	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,445.44 / $5,495.41	Professional		$724.44	$1,445.44	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $1,995.26	Professional		$1,412.54	$1,698.24	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,995.26	Professional		$1,380.38	$1,445.44	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $34,673.69	Facility		$8,511.38	$13,489.63	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $2,041.74	Professional		$707.95	$1,047.13	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,778.28	Professional		$1,174.90	$1,513.56	$1,778.28