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 $724.44 / $831.76 / $1,995.26	Professional		$724.44	$831.76	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,290.87	Professional		$1,445.44	$1,819.70	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $3,090.30	Professional		$724.44	$1,122.02	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $17,378.01	Facility		$1,071.52	$2,089.30	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,548.82 / $5,888.44	Professional		$794.33	$1,548.82	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,137.96	Professional		$1,584.89	$1,819.70	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $2,137.96	Professional		$1,513.56	$1,548.82	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,481.54 / $19,498.45	Facility		$7,413.10	$11,481.54	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,187.76	Professional		$758.58	$1,122.02	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,819.70	Professional		$1,230.27	$1,548.82	$1,819.70