Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.26 / $1,499.96 / $3,186.48	Professional		$855.26	$1,499.96	$3,186.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,228.58 / $2,104.35 / $2,630.44	Professional		$1,228.58	$2,104.35	$2,630.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.39 / $1,170.71 / $2,852.89	Professional		$831.39	$1,170.71	$2,852.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,274.08 / $2,476.98 / $7,104.12	Facility		$1,274.08	$2,476.98	$7,104.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,030.28 / $1,835.73 / $3,260.09	Professional		$1,030.28	$1,835.73	$3,260.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,432.66 / $1,908.09 / $2,438.02	Facility		$1,432.66	$1,908.09	$2,438.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,432.66 / $1,996.78 / $2,787.48	Professional		$1,432.66	$1,996.78	$2,787.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $976.06 / $1,419.73 / $2,888.53	Professional		$976.06	$1,419.73	$2,888.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,366.62 / $1,892.80 / $2,035.20	Professional		$1,366.62	$1,892.80	$2,035.20