Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,981.07 / $6,760.83	Facility		$1,230.27	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,949.84	Professional		$707.95	$870.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,238.72	Professional		$1,380.38	$1,819.70	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,951.21	Professional		$724.44	$1,096.48	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $8,912.51	Facility		$1,000.00	$2,041.74	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,479.11 / $5,754.40	Professional		$776.25	$1,479.11	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,089.30	Professional		$1,479.11	$1,778.28	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,089.30	Professional		$1,513.56	$1,513.56	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,137.96	Professional		$741.31	$1,096.48	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,778.28	Professional		$1,202.26	$1,513.56	$1,778.28