Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $6,760.83	Facility		$2,187.76	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $3,467.37	Professional		$1,258.93	$1,479.11	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $3,981.07	Professional		$2,511.89	$3,162.28	$3,981.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $5,495.41	Professional		$1,230.27	$1,905.46	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,548.13 / $17,782.79	Facility		$1,949.84	$3,548.13	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $10,232.93	Professional		$1,380.38	$2,691.53	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $3,801.89	Professional		$2,754.23	$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 $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,801.89	Professional		$1,318.26	$1,949.84	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,162.28	Professional		$2,137.96	$2,691.53	$3,162.28