Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,786.30 / $7,079.46	Facility		$1,513.56	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,187.76	Professional		$812.83	$1,047.13	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $2,570.40	Professional		$1,071.52	$2,041.74	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $2,630.27	Professional		$630.96	$1,096.48	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,951.21 / $10,232.93	Facility		$1,288.25	$2,951.21	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,737.80 / $6,606.93	Professional		$954.99	$1,737.80	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,344.23	Professional		$1,412.54	$2,041.74	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $10,964.78	Facility		$4,365.16	$6,606.93	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,454.71	Professional		$891.25	$1,258.93	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $1,949.84	Professional		$1,288.25	$1,778.28	$1,949.84