Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,786.30 / $7,079.46	Facility		$1,737.80	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,884.03	Professional		$912.01	$1,174.90	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,754.23 / $3,311.31	Professional		$2,691.53	$2,754.23	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $4,897.79	Professional		$1,071.52	$1,621.81	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $10,232.93	Facility		$1,548.82	$3,388.44	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $3,548.13	Professional		$1,174.90	$1,949.84	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $3,548.13	Professional		$2,344.23	$2,818.38	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $10,715.19	Facility		$4,786.30	$7,762.47	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,019.95	Professional		$1,148.15	$1,621.81	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,454.71	Professional		$1,659.59	$2,089.30	$2,454.71