Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,370.32 / $7,943.28	Facility		$1,513.56	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,630.27	Professional		$870.96	$1,230.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $2,630.27	Professional		$2,137.96	$2,398.83	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,698.24 / $3,467.37	Professional		$933.25	$1,698.24	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $7,244.36	Facility		$1,949.84	$2,630.27	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $3,890.45	Professional		$1,148.15	$2,187.76	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $3,981.07	Professional		$2,187.76	$2,630.27	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,691.53	Professional		$2,137.96	$2,137.96	$2,691.53
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 $1,096.48 / $1,778.28 / $3,162.28	Professional		$1,096.48	$1,778.28	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,344.23	Professional		$1,584.89	$1,995.26	$2,344.23