Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,786.30 / $7,079.46	Facility		$1,778.28	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $2,818.38	Professional		$1,023.29	$1,174.90	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,235.94	Professional		$2,041.74	$2,570.40	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $3,715.35	Professional		$1,071.52	$1,621.81	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,019.95 / $17,782.79	Facility		$1,621.81	$3,019.95	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $8,709.64	Professional		$1,174.90	$2,290.87	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $3,019.95	Professional		$2,511.89	$2,754.23	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $3,019.95	Professional		$2,187.76	$2,238.72	$3,019.95
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 $1,122.02 / $1,698.24 / $3,162.28	Professional		$1,122.02	$1,698.24	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,570.40	Professional		$1,737.80	$2,187.76	$2,570.40