Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $6,760.83	Facility		$1,122.02	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,819.70	Professional		$602.56	$758.58	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,089.30	Professional		$1,288.25	$1,659.59	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $2,570.40	Professional		$676.08	$1,023.29	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $17,782.79	Facility		$1,096.48	$1,862.09	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $6,025.60	Professional		$741.31	$1,445.44	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $1,949.84	Professional		$1,548.82	$1,778.28	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,949.84	Professional		$1,288.25	$1,412.54	$1,949.84
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 $691.83 / $1,071.52 / $1,995.26	Professional		$691.83	$1,071.52	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,659.59	Professional		$1,122.02	$1,412.54	$1,659.59