Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $7,943.28	Facility		$1,047.13	$4,786.30	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,584.89	Professional		$602.56	$724.44	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,949.84	Professional		$1,230.27	$1,548.82	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $3,311.31	Professional		$602.56	$933.25	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $17,378.01	Facility		$1,000.00	$1,778.28	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,288.25 / $5,754.40	Professional		$660.69	$1,288.25	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,819.70	Professional		$1,318.26	$1,513.56	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,819.70	Professional		$1,258.93	$1,288.25	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,819.70	Professional		$645.65	$933.25	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,548.82	Professional		$1,023.29	$1,318.26	$1,548.82