Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,786.30 / $7,079.46	Facility		$1,412.54	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $2,290.87	Professional		$812.83	$954.99	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,630.27	Professional		$1,584.89	$2,089.30	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $2,884.03	Professional		$794.33	$1,258.93	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $9,772.37	Facility		$1,258.93	$2,290.87	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,778.28 / $6,760.83	Professional		$891.25	$1,778.28	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,454.71	Professional		$1,778.28	$2,041.74	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $2,454.71	Professional		$1,584.89	$1,778.28	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,511.38 / $11,748.98	Facility		$5,128.61	$8,511.38	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,454.71	Professional		$851.14	$1,288.25	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,089.30	Professional		$1,412.54	$1,778.28	$2,089.30