Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,981.07 / $6,760.83	Facility		$1,380.38	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,819.70	Professional		$794.33	$977.24	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,511.89	Professional		$1,548.82	$2,041.74	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $3,235.94	Professional		$812.83	$1,230.27	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,344.23 / $32,359.37	Facility		$1,000.00	$2,344.23	$32,359.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $6,456.54	Professional		$870.96	$1,698.24	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,344.23	Professional		$1,548.82	$1,995.26	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $2,344.23	Professional		$1,659.59	$1,737.80	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $34,673.69	Facility		$8,511.38	$13,489.63	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,398.83	Professional		$851.14	$1,230.27	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,041.74	Professional		$1,348.96	$1,737.80	$2,041.74