Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,011.87 / $17,782.79	Facility		$870.96	$5,011.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $8,128.31 / $21,877.62	Professional		$588.84	$8,128.31	$21,877.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $19,498.45 / $24,547.09	Professional		$1,258.93	$19,498.45	$24,547.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $5,011.87 / $12,022.64	Professional		$512.86	$5,011.87	$12,022.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $15,488.17 / $27,542.29	Facility		$1,348.96	$15,488.17	$27,542.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $17,782.79 / $30,902.95	Professional		$1,479.11	$17,782.79	$30,902.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $18,197.01 / $23,988.33	Professional		$1,348.96	$18,197.01	$23,988.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $23,442.29	Professional		$1,479.11	$1,479.11	$23,442.29
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $15,135.61 / $30,199.52	Facility		$9,549.93	$15,135.61	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $8,709.64 / $26,915.35	Professional		$660.69	$8,709.64	$26,915.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $19,054.61	Professional		$1,096.48	$1,288.25	$19,054.61