Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $7,079.46	Facility		$4,073.80	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $5,754.40	Professional		$2,238.72	$2,754.23	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,888.44 / $7,413.10	Professional		$4,786.30	$5,888.44	$7,413.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $7,762.47	Professional		$2,454.71	$3,548.13	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,025.60 / $10,000.00	Facility		$3,388.44	$6,025.60	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $5,128.61 / $27,542.29	Professional		$2,630.27	$5,128.61	$27,542.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,309.57 / $6,918.31	Professional		$5,623.41	$6,309.57	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,248.07 / $6,918.31	Professional		$4,786.30	$5,248.07	$6,918.31
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 $2,511.89 / $3,890.45 / $7,244.36	Professional		$2,511.89	$3,890.45	$7,244.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $5,888.44	Professional		$3,890.45	$5,011.87	$5,888.44