Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,063.22 / $5,063.22 / $5,063.22	Professional		$5,063.22	$5,063.22	$5,063.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,930.61 / $1,930.61 / $2,413.26	Professional		$1,930.61	$1,930.61	$2,413.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $883.57 / $1,474.70 / $2,819.22	Professional		$883.57	$1,474.70	$2,819.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,580.22 / $2,348.10 / $7,305.00	Facility		$1,580.22	$2,348.10	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,082.53 / $2,136.82 / $5,023.33	Professional		$1,082.53	$2,136.82	$5,023.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,464.66 / $2,088.41 / $2,756.12	Facility		$1,464.66	$2,088.41	$2,756.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,464.66 / $2,048.02 / $2,756.12	Professional		$1,464.66	$2,048.02	$2,756.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.58 / $1,858.35 / $2,985.98	Professional		$1,063.58	$1,858.35	$2,985.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,483.30 / $1,877.60 / $2,209.00	Professional		$1,483.30	$1,877.60	$2,209.00