Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,981.07 / $6,760.83	Facility		$1,445.44	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $2,290.87	Professional		$831.76	$954.99	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,630.27	Professional		$1,698.24	$2,089.30	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $3,162.28	Professional		$870.96	$1,288.25	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $17,782.79	Facility		$1,445.44	$2,398.83	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $7,079.46	Professional		$933.25	$1,819.70	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $2,454.71	Professional		$1,949.84	$2,238.72	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,778.28 / $2,454.71	Professional		$1,737.80	$1,778.28	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $19,498.45	Facility		$8,511.38	$11,748.98	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,570.40	Professional		$891.25	$1,380.38	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,137.96	Professional		$1,412.54	$1,778.28	$2,137.96