Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,981.07 / $6,760.83	Facility		$1,071.52	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $2,951.21	Professional		$630.96	$758.58	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,995.26	Professional		$1,202.26	$1,584.89	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $4,466.84	Professional		$616.60	$954.99	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,819.70 / $8,912.51	Facility		$912.01	$1,819.70	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,318.26 / $5,128.61	Professional		$676.08	$1,318.26	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,862.09	Professional		$1,318.26	$1,548.82	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,862.09	Professional		$1,288.25	$1,318.26	$1,862.09
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 $660.69 / $954.99 / $1,862.09	Professional		$660.69	$954.99	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,584.89	Professional		$1,071.52	$1,348.96	$1,584.89