Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,511.89 / $2,511.89	Facility		$741.31	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,467.37	Professional		$2,041.74	$2,454.71	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,606.93 / $6,760.83	Facility		$6,309.57	$6,606.93	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,445.44 / $1,819.70	Professional		$524.81	$1,445.44	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,862.09	Professional		$549.54	$851.14	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $3,388.44 / $8,912.51	Facility		$112.20	$3,388.44	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,698.24 / $6,918.31	Professional		$537.03	$1,698.24	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $7,585.78	Professional		$977.24	$1,348.96	$7,585.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $7,585.78	Professional		$1,000.00	$1,000.00	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $9,772.37	Facility		$4,168.69	$7,244.36	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,819.70 / $3,311.31	Professional		$602.56	$1,819.70	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $6,606.93	Professional		$5,623.41	$5,623.41	$6,606.93