Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,981.07 / $6,760.83	Facility		$1,348.96	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $2,041.74	Professional		$741.31	$891.25	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,454.71	Professional		$1,479.11	$1,949.84	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $2,511.89	Professional		$707.95	$1,148.15	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $8,912.51	Facility		$1,148.15	$2,089.30	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,584.89 / $6,165.95	Professional		$794.33	$1,584.89	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,290.87	Professional		$1,584.89	$1,905.46	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $2,290.87	Professional		$1,513.56	$1,548.82	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $2,238.72	Professional		$776.25	$1,148.15	$2,238.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,905.46	Professional		$1,288.25	$1,621.81	$1,905.46