Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,248.07 / $7,943.28	Facility		$1,174.90	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $2,951.21	Professional		$616.60	$1,000.00	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $1,737.80	Professional		$1,380.38	$1,412.54	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $2,187.76	Professional		$426.58	$741.31	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $10,964.78	Facility		$1,096.48	$2,754.23	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,479.11 / $4,466.84	Professional		$812.83	$1,479.11	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,819.70	Professional		$1,288.25	$1,548.82	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,511.38 / $12,882.50	Facility		$5,128.61	$8,511.38	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $2,041.74	Professional		$691.83	$1,122.02	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,318.26	Professional		$870.96	$1,202.26	$1,318.26