Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,511.89 / $6,760.83	Facility		$1,096.48	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,698.24	Professional		$630.96	$812.83	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,479.11 / $2,187.76	Professional		$676.08	$1,479.11	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $2,041.74	Professional		$524.81	$891.25	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $6,606.93	Facility		$1,122.02	$1,905.46	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $4,677.35	Professional		$831.76	$1,584.89	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,949.84	Professional		$1,348.96	$1,584.89	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
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 $660.69 / $977.24 / $1,949.84	Professional		$660.69	$977.24	$1,949.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,621.81	Professional		$1,096.48	$1,380.38	$1,621.81