Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,248.07 / $7,943.28	Facility		$1,258.93	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,819.70	Professional		$676.08	$851.14	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,698.24 / $2,137.96	Professional		$933.25	$1,698.24	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $2,089.30	Professional		$524.81	$912.01	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,454.71 / $10,000.00	Facility		$1,023.29	$2,454.71	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $5,370.32	Professional		$794.33	$1,445.44	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $1,905.46	Professional		$1,122.02	$1,659.59	$1,905.46
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 $5,128.61 / $8,128.31 / $10,964.78	Facility		$5,128.61	$8,128.31	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,041.74	Professional		$741.31	$1,096.48	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,584.89	Professional		$1,071.52	$1,479.11	$1,584.89