Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,981.07 / $6,760.83	Facility		$1,380.38	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $2,187.76	Professional		$758.58	$912.01	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,570.40	Professional		$1,548.82	$2,041.74	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,951.21	Professional		$741.31	$1,202.26	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $17,782.79	Facility		$1,288.25	$2,238.72	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,659.59 / $6,456.54	Professional		$831.76	$1,659.59	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,398.83	Professional		$1,659.59	$1,995.26	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $2,398.83	Professional		$1,584.89	$1,621.81	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,344.23	Professional		$812.83	$1,202.26	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $1,995.26	Professional		$1,348.96	$1,698.24	$1,995.26