Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,750.50 / $2,794.91 / $3,780.86	Professional		$1,750.50	$2,794.91	$3,780.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,581.91 / $4,927.03 / $6,158.79	Professional		$3,581.91	$4,927.03	$6,158.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.75 / $3,083.90 / $6,638.71	Professional		$1,769.75	$3,083.90	$6,638.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,647.20 / $4,715.39 / $8,935.18	Facility		$2,647.20	$4,715.39	$8,935.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,482.64 / $4,691.06 / $15,904.32	Professional		$2,482.64	$4,691.06	$15,904.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,451.93 / $4,412.00 / $5,909.38	Facility		$1,451.93	$4,412.00	$5,909.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,847.86 / $4,703.13 / $5,909.38	Professional		$3,847.86	$4,703.13	$5,909.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,218.40 / $3,454.11 / $6,476.46	Professional		$2,218.40	$3,454.11	$6,476.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,284.74 / $3,991.70 / $4,891.60	Professional		$3,284.74	$3,991.70	$4,891.60