Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $6,760.83	Facility		$2,089.30	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $3,388.44	Professional		$1,202.26	$1,412.54	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,090.30 / $3,801.89	Professional		$1,778.28	$3,090.30	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,621.81 / $4,365.16	Professional		$794.33	$1,621.81	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,235.94 / $17,378.01	Facility		$1,348.96	$3,235.94	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,290.87 / $9,772.37	Professional		$1,047.13	$2,290.87	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,019.95 / $3,630.78	Professional		$1,479.11	$3,019.95	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,630.27	Professional		$2,511.89	$2,630.27	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,481.54 / $19,498.45	Facility		$7,413.10	$11,481.54	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,778.28 / $3,630.78	Professional		$977.24	$1,778.28	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,090.30	Professional		$2,089.30	$2,630.27	$3,090.30