Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $7,079.46	Facility		$1,202.26	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,862.09	Professional		$660.69	$794.33	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,187.76	Professional		$1,348.96	$1,778.28	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $2,454.71	Professional		$630.96	$1,023.29	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $8,912.51	Facility		$1,096.48	$1,862.09	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,412.54 / $5,623.41	Professional		$707.95	$1,412.54	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,089.30	Professional		$1,412.54	$1,698.24	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $2,089.30	Professional		$1,348.96	$1,380.38	$2,089.30
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 $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 / $1,479.11 / $1,737.80	Professional		$1,148.15	$1,479.11	$1,737.80