Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $7,943.28	Facility		$1,122.02	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,659.59	Professional		$588.84	$758.58	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,089.30	Professional		$1,258.93	$1,659.59	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,949.84	Professional		$630.96	$1,000.00	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,513.56 / $9,772.37	Facility		$812.83	$1,513.56	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,380.38 / $5,370.32	Professional		$707.95	$1,380.38	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,949.84	Professional		$1,380.38	$1,621.81	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,949.84	Professional		$1,258.93	$1,412.54	$1,949.84
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 $676.08 / $1,023.29 / $1,949.84	Professional		$676.08	$1,023.29	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,659.59	Professional		$1,122.02	$1,412.54	$1,659.59