Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,981.07 / $6,760.83	Facility		$1,202.26	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,949.84	Professional		$691.83	$812.83	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,238.72	Professional		$1,412.54	$1,778.28	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,754.23	Professional		$724.44	$1,071.52	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $9,772.37	Facility		$1,202.26	$2,041.74	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,548.82 / $6,309.57	Professional		$794.33	$1,548.82	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,089.30	Professional		$1,698.24	$1,905.46	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $2,089.30	Professional		$1,479.11	$1,513.56	$2,089.30
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 $741.31 / $1,148.15 / $2,137.96	Professional		$741.31	$1,148.15	$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