Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $6,760.83	Facility		$1,862.09	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,630.27	Professional		$977.24	$1,258.93	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $3,090.30	Professional		$1,258.93	$2,454.71	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,318.26 / $3,090.30	Professional		$758.58	$1,318.26	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $10,000.00	Facility		$1,380.38	$2,884.03	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $7,943.28	Professional		$1,096.48	$1,949.84	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,818.38	Professional		$1,621.81	$2,290.87	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
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 $1,047.13 / $1,513.56 / $2,754.23	Professional		$1,047.13	$1,513.56	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,344.23	Professional		$1,548.82	$2,137.96	$2,344.23