Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $6,760.83	Facility		$2,137.96	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $3,019.95	Professional		$1,148.15	$1,445.44	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $3,548.13	Professional		$1,445.44	$2,884.03	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $3,467.37	Professional		$870.96	$1,513.56	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,311.31 / $10,000.00	Facility		$1,548.82	$3,311.31	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $9,120.11	Professional		$1,288.25	$2,187.76	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $3,235.94	Professional		$1,862.09	$2,630.27	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $10,964.78	Facility		$5,128.61	$8,128.31	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,235.94	Professional		$1,202.26	$1,778.28	$3,235.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $2,691.53	Professional		$1,819.70	$2,511.89	$2,691.53