Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,786.30 / $7,079.46	Facility		$2,187.76	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,548.13	Professional		$1,174.90	$1,479.11	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,073.80	Professional		$2,454.71	$3,235.94	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $5,623.41	Professional		$1,258.93	$1,949.84	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $10,000.00	Facility		$1,698.24	$3,019.95	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $10,964.78	Professional		$1,412.54	$2,570.40	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $3,801.89	Professional		$2,630.27	$3,235.94	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,801.89	Professional		$2,511.89	$2,511.89	$3,801.89
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 $1,348.96 / $1,995.26 / $3,801.89	Professional		$1,348.96	$1,995.26	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $3,235.94	Professional		$2,137.96	$2,754.23	$3,235.94