Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,370.32 / $7,943.28	Facility		$1,737.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $4,786.30	Professional		$1,023.29	$1,479.11	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $3,162.28	Professional		$2,570.40	$2,818.38	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $4,570.88	Professional		$1,096.48	$1,862.09	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,022.64 / $21,379.62	Facility		$2,137.96	$12,022.64	$21,379.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $4,168.69	Professional		$1,318.26	$2,344.23	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $4,265.80	Professional		$2,570.40	$2,818.38	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,162.28	Professional		$2,290.87	$2,290.87	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $15,488.17 / $27,542.29	Facility		$9,772.37	$15,488.17	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $3,630.78	Professional		$1,230.27	$1,862.09	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,754.23	Professional		$1,862.09	$2,344.23	$2,754.23