Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,248.07 / $7,943.28	Facility		$2,691.53	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $3,981.07	Professional		$1,412.54	$1,778.28	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $4,786.30	Professional		$2,951.21	$3,890.45	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $9,549.93	Professional		$1,584.89	$2,344.23	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $10,000.00	Facility		$2,041.74	$3,801.89	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $17,782.79	Professional		$1,698.24	$3,235.94	$17,782.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $4,570.88	Professional		$3,311.31	$3,890.45	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,090.30 / $4,570.88	Professional		$2,951.21	$3,090.30	$4,570.88
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 $1,621.81 / $2,454.71 / $4,786.30	Professional		$1,621.81	$2,454.71	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $3,890.45	Professional		$2,570.40	$3,311.31	$3,890.45