Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,370.32 / $7,943.28	Facility		$1,318.26	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,290.87	Professional		$776.25	$1,096.48	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,344.23	Professional		$1,905.46	$2,089.30	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $3,162.28	Professional		$812.83	$1,288.25	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $8,128.31 / $14,454.40	Facility		$1,737.80	$8,128.31	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $3,467.37	Professional		$1,000.00	$1,905.46	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,548.13	Professional		$1,905.46	$2,344.23	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,344.23	Professional		$1,819.70	$1,819.70	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $11,481.54 / $15,135.61	Facility		$7,244.36	$11,481.54	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,754.23	Professional		$954.99	$1,445.44	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,089.30	Professional		$1,380.38	$1,778.28	$2,089.30