Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,370.32 / $7,943.28	Facility		$1,148.15	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $2,041.74	Professional		$676.08	$1,000.00	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,041.74	Professional		$1,659.59	$1,819.70	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $2,884.03	Professional		$724.44	$1,174.90	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $4,897.79	Facility		$1,445.44	$2,398.83	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $2,754.23	Professional		$977.24	$1,698.24	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,818.38	Professional		$1,698.24	$1,905.46	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,041.74	Professional		$1,819.70	$1,819.70	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,128.61	Facility		$1,819.70	$3,890.45	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,691.53	Professional		$912.01	$1,380.38	$2,691.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,819.70	Professional		$1,230.27	$1,548.82	$1,819.70