Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,235.94 / $6,760.83	Facility		$1,288.25	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $3,235.94	Professional		$691.83	$870.96	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,398.83	Professional		$1,445.44	$1,905.46	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $2,398.83	Professional		$660.69	$1,122.02	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $8,128.31	Facility		$1,047.13	$2,041.74	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,479.11 / $6,025.60	Professional		$776.25	$1,479.11	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $2,238.72	Professional		$1,445.44	$1,778.28	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $2,238.72	Professional		$1,445.44	$1,479.11	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $8,912.51	Facility		$3,162.28	$5,495.41	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,089.30	Professional		$741.31	$1,096.48	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,862.09	Professional		$1,258.93	$1,584.89	$1,862.09