Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.68 / $1,654.91 / $2,381.31	Professional		$1,040.68	$1,654.91	$2,381.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,184.62 / $2,963.50 / $3,989.97	Professional		$2,184.62	$2,963.50	$3,989.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.80 / $1,859.57 / $4,026.76	Professional		$1,051.80	$1,859.57	$4,026.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,599.85 / $2,872.24 / $7,221.00	Facility		$1,599.85	$2,872.24	$7,221.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,563.05 / $2,895.54 / $10,200.08	Professional		$1,563.05	$2,895.54	$10,200.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,074.36 / $2,711.00 / $3,555.17	Facility		$1,074.36	$2,711.00	$3,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,289.65 / $2,895.54 / $3,617.39	Professional		$2,289.65	$2,895.54	$3,617.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,420.00 / $11,869.99	Facility		$6,354.00	$8,420.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.13 / $2,174.67 / $4,161.75	Professional		$1,427.13	$2,174.67	$4,161.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,018.90 / $2,375.19 / $3,151.40	Professional		$2,018.90	$2,375.19	$3,151.40