Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,248.07 / $7,943.28	Facility		$1,479.11	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $2,137.96	Professional		$794.33	$1,023.29	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $2,511.89	Professional		$1,096.48	$1,995.26	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $2,570.40	Professional		$616.60	$1,071.52	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,951.21 / $10,232.93	Facility		$1,380.38	$2,951.21	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,698.24 / $6,309.57	Professional		$933.25	$1,698.24	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,238.72	Professional		$1,380.38	$1,995.26	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
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 / $1,318.26 / $2,398.83	Professional		$891.25	$1,318.26	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $1,862.09	Professional		$1,258.93	$1,737.80	$1,862.09