Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.91 / $2,130.05 / $2,863.05	Professional		$1,338.91	$2,130.05	$2,863.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,758.29 / $3,771.82 / $4,842.10	Professional		$2,758.29	$3,771.82	$4,842.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.14 / $2,365.29 / $5,007.52	Professional		$1,341.14	$2,365.29	$5,007.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,980.32 / $3,599.78 / $7,221.00	Facility		$1,980.32	$3,599.78	$7,221.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,929.37 / $3,595.48 / $12,434.32	Professional		$1,929.37	$3,595.48	$12,434.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,216.53 / $3,414.00 / $4,521.37	Facility		$1,216.53	$3,414.00	$4,521.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,891.30 / $3,595.48 / $4,521.37	Professional		$2,891.30	$3,595.48	$4,521.37
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 $1,761.60 / $2,684.34 / $5,461.45	Professional		$1,761.60	$2,684.34	$5,461.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,573.40 / $3,027.60 / $3,837.70	Professional		$2,573.40	$3,027.60	$3,837.70