Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,981.07 / $6,760.83	Facility		$1,445.44	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $2,290.87	Professional		$831.76	$954.99	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,630.27	Professional		$2,137.96	$2,137.96	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,951.21	Professional		$831.76	$1,288.25	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $17,782.79	Facility		$1,202.26	$2,398.83	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $6,760.83	Professional		$912.01	$1,778.28	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,454.71	Professional		$1,778.28	$2,089.30	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,778.28 / $2,454.71	Professional		$1,737.80	$1,778.28	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,481.54 / $19,498.45	Facility		$7,413.10	$11,481.54	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,511.89	Professional		$870.96	$1,288.25	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,137.96	Professional		$1,412.54	$1,778.28	$2,137.96