Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,370.32 / $7,943.28	Facility		$1,584.89	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,818.38	Professional		$933.25	$1,318.26	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,344.23 / $2,818.38	Professional		$2,238.72	$2,344.23	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,584.89 / $3,388.44	Professional		$707.95	$1,584.89	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $4,677.35	Facility		$1,230.27	$2,187.76	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,388.44	Professional		$1,096.48	$2,137.96	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $2,818.38	Professional		$2,187.76	$2,511.89	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,818.38	Professional		$2,137.96	$2,137.96	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $4,897.79	Facility		$1,148.15	$2,041.74	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $3,311.31	Professional		$1,047.13	$1,659.59	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,511.89	Professional		$1,659.59	$2,137.96	$2,511.89