Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,370.32 / $7,943.28	Facility		$1,862.09	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,754.23	Professional		$2,187.76	$2,187.76	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,621.81	Professional		$912.01	$1,258.93	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $7,244.36	Facility		$1,949.84	$2,951.21	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,137.96	Professional		$1,737.80	$1,819.70	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,137.96	Professional		$1,819.70	$1,819.70	$2,137.96
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $1,819.70	Professional		$1,445.44	$1,819.70	$1,819.70