Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $6,760.83	Facility		$1,819.70	$2,570.40	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,090.30	Professional		$1,174.90	$1,479.11	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $3,630.78	Professional		$2,290.87	$2,951.21	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $5,888.44	Professional		$1,202.26	$1,819.70	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,090.30 / $15,488.17	Facility		$1,778.28	$3,090.30	$15,488.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $10,000.00	Professional		$1,288.25	$2,454.71	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,467.37	Professional		$2,570.40	$3,019.95	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,467.37	Professional		$2,137.96	$2,630.27	$3,467.37
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 $1,230.27 / $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 $1,995.26 / $2,511.89 / $2,951.21	Professional		$1,995.26	$2,511.89	$2,951.21