Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,025.60 / $7,943.28	Facility		$1,445.44	$6,025.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,511.89	Professional		$831.76	$1,202.26	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,570.40	Professional		$2,041.74	$2,290.87	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $3,801.89	Professional		$891.25	$1,479.11	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,897.79 / $9,772.37	Facility		$1,862.09	$4,897.79	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $3,630.78	Professional		$1,096.48	$2,041.74	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $3,715.35	Professional		$2,089.30	$2,511.89	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,570.40	Professional		$2,089.30	$2,089.30	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,413.10 / $10,232.93	Facility		$4,570.88	$7,413.10	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $3,019.95	Professional		$1,047.13	$1,621.81	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,290.87	Professional		$1,513.56	$1,949.84	$2,290.87