Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $6,760.83	Facility		$1,621.81	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,290.87	Professional		$870.96	$1,096.48	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $2,754.23	Professional		$1,096.48	$2,187.76	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $2,511.89	Professional		$660.69	$1,122.02	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,818.38 / $10,000.00	Facility		$1,148.15	$2,818.38	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $6,918.31	Professional		$912.01	$1,584.89	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,398.83	Professional		$1,348.96	$1,905.46	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $10,964.78	Facility		$5,128.61	$8,128.31	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,344.23	Professional		$891.25	$1,258.93	$2,344.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,041.74	Professional		$1,380.38	$1,905.46	$2,041.74