Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $7,943.28	Facility		$1,047.13	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,202.26	Professional		$812.83	$1,071.52	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,548.13 / $3,630.78	Facility		$3,467.37	$3,548.13	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,888.44 / $7,244.36	Professional		$2,884.03	$5,888.44	$7,244.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,071.52 / $1,778.28	Professional		$151.36	$1,071.52	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,388.44 / $7,943.28	Facility		$1,202.26	$3,388.44	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $5,128.61 / $12,589.25	Professional		$1,584.89	$5,128.61	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $3,019.95 / $4,466.84	Professional		$1,202.26	$3,019.95	$4,466.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,884.03	Professional		$2,089.30	$2,089.30	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $6,456.54 / $17,782.79	Professional		$1,584.89	$6,456.54	$17,782.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,513.56	Professional		$1,023.29	$1,288.25	$1,513.56