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 $891.25 / $1,288.25 / $2,691.53	Professional		$891.25	$1,288.25	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $2,754.23	Professional		$2,187.76	$2,398.83	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $5,754.40	Professional		$933.25	$1,584.89	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $10,471.29 / $17,378.01	Facility		$1,905.46	$10,471.29	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $3,715.35	Professional		$1,148.15	$2,137.96	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,801.89	Professional		$2,187.76	$2,570.40	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,691.53	Professional		$2,089.30	$2,089.30	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $12,302.69 / $17,378.01	Facility		$9,549.93	$12,302.69	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $3,162.28	Professional		$1,047.13	$1,659.59	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,398.83	Professional		$1,584.89	$2,041.74	$2,398.83