Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,248.07 / $7,943.28	Facility		$1,288.25	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $2,089.30	Professional		$707.95	$851.14	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,398.83	Professional		$1,513.56	$1,905.46	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $2,570.40	Professional		$758.58	$1,174.90	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $9,772.37	Facility		$1,096.48	$1,862.09	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $6,165.95	Professional		$812.83	$1,584.89	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $2,238.72	Professional		$1,659.59	$1,862.09	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,238.72	Professional		$1,513.56	$1,513.56	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,882.50 / $19,498.45	Facility		$8,511.38	$12,882.50	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $2,290.87	Professional		$794.33	$1,174.90	$2,290.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,905.46	Professional		$1,288.25	$1,621.81	$1,905.46