Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,370.32 / $7,943.28	Facility		$1,513.56	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $2,290.87	Professional		$870.96	$1,023.29	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,754.23	Professional		$1,698.24	$2,187.76	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $3,890.45	Professional		$851.14	$1,348.96	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $12,302.69	Facility		$1,230.27	$2,137.96	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,905.46 / $7,079.46	Professional		$954.99	$1,905.46	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,570.40	Professional		$1,862.09	$2,187.76	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,570.40	Professional		$1,698.24	$1,905.46	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $10,471.29 / $16,218.10	Facility		$5,754.40	$10,471.29	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,630.27	Professional		$912.01	$1,380.38	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,238.72	Professional		$1,479.11	$1,905.46	$2,238.72