Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,367.58 / $5,091.00 / $21,533.34	Facility		$1,367.58	$5,091.00	$21,533.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.86 / $2,608.04 / $12,393.79	Professional		$476.86	$2,608.04	$12,393.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.04 / $14,549.38 / $19,826.15	Professional		$1,005.04	$14,549.38	$19,826.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $434.77 / $5,397.28 / $10,695.78	Professional		$434.77	$5,397.28	$10,695.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,108.46 / $13,274.80 / $33,239.54	Facility		$1,108.46	$13,274.80	$33,239.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,248.74 / $16,061.06 / $26,647.75	Professional		$1,248.74	$16,061.06	$26,647.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,112.60 / $16,850.93 / $22,632.37	Facility		$1,112.60	$16,850.93	$22,632.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,010.90 / $14,293.96 / $21,062.00	Professional		$1,010.90	$14,293.96	$21,062.00
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $8,170.87 / $16,590.58 / $23,129.23	Professional		$8,170.87	$16,590.58	$23,129.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $926.80 / $1,090.40 / $15,692.90	Professional		$926.80	$1,090.40	$15,692.90