Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,754.23 / $6,760.83	Facility		$1,047.13	$2,754.23	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,513.56	Professional		$446.68	$691.83	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,412.54 / $1,778.28	Professional		$724.44	$1,412.54	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $2,041.74	Professional		$436.52	$758.58	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,949.84 / $7,079.46	Facility		$933.25	$1,949.84	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $4,466.84	Professional		$645.65	$1,148.15	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,621.81	Professional		$954.99	$1,348.96	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
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 $616.60 / $891.25 / $1,659.59	Professional		$616.60	$891.25	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,318.26	Professional		$891.25	$1,230.27	$1,318.26