Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,981.07 / $6,760.83	Facility		$1,148.15	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,862.09	Professional		$602.56	$758.58	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,137.96	Professional		$1,230.27	$1,698.24	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $2,951.21	Professional		$630.96	$1,023.29	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $9,772.37	Facility		$1,096.48	$1,778.28	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,412.54 / $5,623.41	Professional		$724.44	$1,412.54	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,995.26	Professional		$1,412.54	$1,659.59	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,995.26	Professional		$1,148.15	$1,412.54	$1,995.26
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 $691.83 / $1,023.29 / $1,995.26	Professional		$691.83	$1,023.29	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,698.24	Professional		$1,148.15	$1,445.44	$1,698.24