Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $7,943.28	Facility		$1,288.25	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,187.76	Professional		$812.83	$1,023.29	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,511.89	Professional		$1,621.81	$2,041.74	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,818.38	Professional		$831.76	$1,288.25	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $6,606.93	Facility		$1,174.90	$2,041.74	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,698.24 / $9,772.37	Professional		$912.01	$1,698.24	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,454.71	Professional		$1,698.24	$2,041.74	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,454.71	Professional		$1,698.24	$1,698.24	$2,454.71
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 $870.96 / $1,288.25 / $2,570.40	Professional		$870.96	$1,288.25	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,089.30	Professional		$1,412.54	$1,778.28	$2,089.30