Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,370.32 / $7,943.28	Facility		$1,071.52	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $2,089.30	Professional		$630.96	$933.25	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $1,995.26	Professional		$1,584.89	$1,621.81	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $2,818.38	Professional		$602.56	$977.24	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,897.79 / $9,549.93	Facility		$1,000.00	$4,897.79	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $2,238.72	Professional		$660.69	$1,174.90	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $1,995.26	Professional		$1,071.52	$1,621.81	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,995.26	Professional		$1,122.02	$1,122.02	$1,995.26
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 $645.65 / $1,047.13 / $2,137.96	Professional		$645.65	$1,047.13	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,778.28	Professional		$1,174.90	$1,513.56	$1,778.28