Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,248.07 / $7,943.28	Facility		$1,737.80	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,454.71	Professional		$912.01	$1,174.90	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $2,884.03	Professional		$1,230.27	$2,290.87	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $2,884.03	Professional		$707.95	$1,230.27	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $7,079.46	Facility		$1,380.38	$2,818.38	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $7,413.10	Professional		$1,071.52	$1,905.46	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $2,630.27	Professional		$1,584.89	$2,238.72	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,754.40 / $7,585.78	Facility		$3,311.31	$5,754.40	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,754.23	Professional		$1,023.29	$1,479.11	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,187.76	Professional		$1,445.44	$2,041.74	$2,187.76