Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,370.32 / $7,943.28	Facility		$1,445.44	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,344.23	Professional		$851.14	$1,230.27	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,630.27	Professional		$2,089.30	$2,290.87	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $4,677.35	Professional		$891.25	$1,513.56	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $12,302.69 / $19,054.61	Facility		$1,819.70	$12,302.69	$19,054.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $3,467.37	Professional		$1,096.48	$2,041.74	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,548.13	Professional		$2,089.30	$2,398.83	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,570.40	Professional		$1,905.46	$1,905.46	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $23,988.33	Facility		$9,772.37	$13,182.57	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,951.21	Professional		$1,000.00	$1,548.82	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,238.72	Professional		$1,513.56	$1,905.46	$2,238.72