Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,248.07 / $7,943.28	Facility		$1,348.96	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $3,311.31	Professional		$776.25	$954.99	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,454.71	Professional		$1,548.82	$1,949.84	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,691.53	Professional		$794.33	$1,202.26	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $17,782.79	Facility		$1,258.93	$2,238.72	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,659.59 / $6,309.57	Professional		$851.14	$1,659.59	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,290.87	Professional		$1,737.80	$2,041.74	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,659.59 / $2,290.87	Professional		$1,621.81	$1,659.59	$2,290.87
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 $831.76 / $1,230.27 / $2,344.23	Professional		$831.76	$1,230.27	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,949.84	Professional		$1,318.26	$1,659.59	$1,949.84