Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $9,772.37	Facility		$1,584.89	$1,584.89	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,897.79 / $6,918.31	Professional		$1,584.89	$4,897.79	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,309.57	Professional		$5,011.87	$5,011.87	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,380.38 / $1,949.84	Professional		$151.36	$1,380.38	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,621.81	Facility		$1,047.13	$1,174.90	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,548.82	Professional		$1,047.13	$1,047.13	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $1,348.96	Professional		$1,174.90	$1,348.96	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,897.79 / $4,897.79	Facility		$1,737.80	$4,897.79	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,897.79 / $5,128.61	Professional		$4,365.16	$4,897.79	$5,128.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13