Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,370.32 / $7,943.28	Facility		$1,445.44	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,187.76	Professional		$794.33	$977.24	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,691.53	Professional		$1,513.56	$2,137.96	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $3,715.35	Professional		$776.25	$1,288.25	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $9,772.37	Facility		$1,071.52	$1,905.46	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $6,918.31	Professional		$870.96	$1,698.24	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,511.89	Professional		$1,659.59	$2,089.30	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $2,511.89	Professional		$1,479.11	$1,621.81	$2,511.89
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 $870.96 / $1,258.93 / $2,454.71	Professional		$870.96	$1,258.93	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,137.96	Professional		$1,445.44	$1,819.70	$2,137.96