Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,090.30 / $6,456.54	Facility		$1,288.25	$3,090.30	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $3,630.78	Professional		$776.25	$1,288.25	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,951.21	Professional		$1,862.09	$2,344.23	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $2,344.23	Professional		$776.25	$1,288.25	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $5,495.41	Facility		$1,148.15	$2,290.87	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $3,090.30	Professional		$1,000.00	$1,949.84	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,691.53	Professional		$1,737.80	$2,187.76	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $6,760.83	Facility		$2,691.53	$5,011.87	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,454.71	Professional		$891.25	$1,288.25	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,089.30	Professional		$1,412.54	$1,778.28	$2,089.30