Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $7,079.46	Facility		$2,570.40	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $4,073.80	Professional		$1,513.56	$1,862.09	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,677.35	Professional		$2,884.03	$3,801.89	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $8,317.64	Professional		$1,479.11	$2,187.76	$8,317.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,715.35 / $10,000.00	Facility		$2,041.74	$3,715.35	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $14,454.40	Professional		$1,698.24	$3,162.28	$14,454.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $4,365.16	Professional		$3,162.28	$3,801.89	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,311.31 / $4,365.16	Professional		$3,162.28	$3,311.31	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,964.78 / $15,848.93	Facility		$7,413.10	$10,964.78	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $4,677.35	Professional		$1,584.89	$2,344.23	$4,677.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,630.78	Professional		$2,454.71	$3,090.30	$3,630.78