Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $6,760.83	Facility		$1,698.24	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,398.83	Professional		$912.01	$1,148.15	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $2,818.38	Professional		$1,148.15	$2,290.87	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $2,691.53	Professional		$691.83	$1,202.26	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $10,000.00	Facility		$1,318.26	$2,884.03	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $7,244.36	Professional		$954.99	$1,659.59	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,570.40	Professional		$1,445.44	$1,995.26	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
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 $933.25 / $1,348.96 / $2,454.71	Professional		$933.25	$1,348.96	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,137.96	Professional		$1,412.54	$1,949.84	$2,137.96