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 / $1,202.26 / $2,398.83	Professional		$851.14	$1,202.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $2,570.40	Professional		$2,089.30	$2,238.72	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $3,467.37	Professional		$912.01	$1,445.44	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,344.23 / $7,244.36	Facility		$1,148.15	$2,344.23	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,089.30 / $3,388.44	Professional		$1,122.02	$2,089.30	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $3,548.13	Professional		$1,513.56	$2,290.87	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $3,090.30	Professional		$1,071.52	$1,621.81	$3,090.30
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