Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,370.32 / $7,943.28	Facility		$1,096.48	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,862.09	Professional		$562.34	$794.33	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,238.72	Professional		$1,230.27	$1,778.28	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $2,187.76	Professional		$630.96	$1,047.13	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,513.56 / $6,606.93	Facility		$912.01	$1,513.56	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,318.26 / $6,760.83	Professional		$724.44	$1,318.26	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,089.30	Professional		$1,348.96	$1,778.28	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,089.30	Professional		$1,174.90	$1,174.90	$2,089.30
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 $691.83 / $1,023.29 / $2,137.96	Professional		$691.83	$1,023.29	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,778.28	Professional		$1,202.26	$1,513.56	$1,778.28