Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,248.07 / $7,943.28	Facility		$1,348.96	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $2,187.76	Professional		$724.44	$912.01	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,454.71	Professional		$1,513.56	$1,995.26	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,754.23	Professional		$741.31	$1,202.26	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $9,772.37	Facility		$1,047.13	$1,949.84	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,621.81 / $7,244.36	Professional		$851.14	$1,621.81	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,344.23	Professional		$1,659.59	$1,949.84	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,344.23	Professional		$1,621.81	$1,621.81	$2,344.23
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 $812.83 / $1,202.26 / $2,344.23	Professional		$812.83	$1,202.26	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $1,995.26	Professional		$1,318.26	$1,698.24	$1,995.26