Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $7,079.46	Facility		$4,168.69	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $6,456.54	Professional		$2,570.40	$3,019.95	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,456.54 / $7,943.28	Professional		$5,128.61	$6,456.54	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $10,471.29	Professional		$2,630.27	$3,981.07	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,248.07 / $8,912.51	Facility		$2,041.74	$5,248.07	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,623.41 / $20,892.96	Professional		$2,884.03	$5,623.41	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,456.54 / $7,585.78	Professional		$5,754.40	$6,456.54	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,623.41 / $7,585.78	Professional		$5,248.07	$5,623.41	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,481.54 / $19,498.45	Facility		$7,413.10	$11,481.54	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,073.80 / $7,943.28	Professional		$2,754.23	$4,073.80	$7,943.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $6,456.54	Professional		$4,365.16	$5,495.41	$6,456.54