Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $6,760.83	Facility		$1,513.56	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $4,677.35	Professional		$977.24	$1,230.27	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,090.30	Professional		$1,995.26	$2,454.71	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $3,630.78	Professional		$1,000.00	$1,513.56	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $15,848.93	Facility		$1,445.44	$2,818.38	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $7,943.28	Professional		$1,071.52	$2,089.30	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $2,884.03	Professional		$2,137.96	$2,454.71	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $2,884.03	Professional		$2,089.30	$2,187.76	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,748.98 / $23,442.29	Facility		$7,413.10	$11,748.98	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $3,019.95	Professional		$1,023.29	$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