Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,248.07 / $7,943.28	Facility		$1,737.80	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $2,754.23	Professional		$1,023.29	$1,148.15	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $3,162.28	Professional		$2,041.74	$2,511.89	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $4,365.16	Professional		$1,047.13	$1,513.56	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $10,000.00	Facility		$1,513.56	$2,570.40	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $10,232.93	Professional		$1,148.15	$2,187.76	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $2,951.21	Professional		$2,290.87	$2,630.27	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $2,951.21	Professional		$2,137.96	$2,398.83	$2,951.21
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 $1,047.13 / $1,621.81 / $3,090.30	Professional		$1,047.13	$1,621.81	$3,090.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,511.89	Professional		$1,659.59	$2,137.96	$2,511.89