Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,370.32 / $13,489.63	Facility		$1,584.89	$5,370.32	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,630.27	Professional		$933.25	$1,348.96	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $2,818.38	Professional		$2,290.87	$2,454.71	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $3,162.28	Professional		$1,000.00	$1,584.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $7,413.10	Facility		$1,819.70	$2,818.38	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $3,715.35	Professional		$1,230.27	$2,290.87	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,801.89	Professional		$1,819.70	$2,511.89	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $3,388.44	Professional		$1,174.90	$1,778.28	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,454.71	Professional		$1,659.59	$2,089.30	$2,454.71