Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,248.07 / $11,748.98	Facility		$1,445.44	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $3,467.37	Professional		$831.76	$1,023.29	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,630.27	Professional		$1,698.24	$2,137.96	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $4,168.69	Professional		$851.14	$1,288.25	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $10,000.00	Facility		$1,445.44	$2,290.87	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,778.28 / $11,748.98	Professional		$933.25	$1,778.28	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $2,511.89	Professional		$1,819.70	$2,089.30	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,819.70 / $2,511.89	Professional		$1,778.28	$1,819.70	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,120.11 / $14,125.38	Facility		$5,128.61	$9,120.11	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,570.40	Professional		$891.25	$1,288.25	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,137.96	Professional		$1,412.54	$1,819.70	$2,137.96