Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,981.07 / $6,760.83	Facility		$1,778.28	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $3,981.07	Professional		$977.24	$1,258.93	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $3,090.30	Professional		$2,454.71	$2,570.40	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $4,365.16	Professional		$1,000.00	$1,513.56	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $15,135.61	Facility		$1,479.11	$4,168.69	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $3,467.37	Professional		$1,148.15	$1,949.84	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $3,548.13	Professional		$2,187.76	$2,630.27	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $3,019.95	Professional		$1,096.48	$1,548.82	$3,019.95
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