Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,248.07 / $7,943.28	Facility		$1,148.15	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,819.70	Professional		$676.08	$794.33	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,137.96	Professional		$1,348.96	$1,698.24	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $3,548.13	Professional		$676.08	$1,047.13	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $17,782.79	Facility		$1,148.15	$1,905.46	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $6,309.57	Professional		$741.31	$1,445.44	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $1,995.26	Professional		$1,479.11	$1,659.59	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,995.26	Professional		$1,412.54	$1,445.44	$1,995.26
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 $707.95 / $1,047.13 / $2,041.74	Professional		$707.95	$1,047.13	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,698.24	Professional		$1,148.15	$1,445.44	$1,698.24