Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $7,943.28	Facility		$1,621.81	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,981.07	Professional		$954.99	$1,380.38	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $2,951.21	Professional		$2,344.23	$2,570.40	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $3,388.44	Professional		$1,000.00	$1,698.24	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $7,244.36	Facility		$1,905.46	$2,754.23	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $3,715.35	Professional		$1,230.27	$2,187.76	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $3,801.89	Professional		$2,344.23	$2,570.40	$3,801.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,884.03	Professional		$2,137.96	$2,137.96	$2,884.03
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 $1,122.02 / $1,659.59 / $3,311.31	Professional		$1,122.02	$1,659.59	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,570.40	Professional		$1,698.24	$2,137.96	$2,570.40