Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,786.30 / $7,079.46	Facility		$3,090.30	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $4,786.30	Professional		$1,778.28	$2,041.74	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,466.84 / $5,495.41	Professional		$3,630.78	$4,466.84	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $6,918.31	Professional		$1,819.70	$2,691.53	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $10,000.00	Facility		$2,818.38	$4,677.35	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $19,498.45	Professional		$2,041.74	$3,890.45	$19,498.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $5,248.07	Professional		$4,168.69	$4,786.30	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,248.07	Professional		$3,801.89	$3,801.89	$5,248.07
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 $1,862.09 / $2,951.21 / $5,495.41	Professional		$1,862.09	$2,951.21	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $4,365.16	Professional		$2,951.21	$3,715.35	$4,365.16