Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.08 / $1,915.08 / $2,728.71	Professional		$1,203.08	$1,915.08	$2,728.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,586.40 / $3,423.17 / $4,545.07	Professional		$2,586.40	$3,423.17	$4,545.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,216.04 / $2,144.65 / $4,715.60	Professional		$1,216.04	$2,144.65	$4,715.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,850.40 / $3,297.90 / $7,221.00	Facility		$1,850.40	$3,297.90	$7,221.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,790.23 / $3,378.08 / $11,641.28	Professional		$1,790.23	$3,378.08	$11,641.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,196.75 / $3,141.04 / $4,106.81	Facility		$1,196.75	$3,141.04	$4,106.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,646.27 / $3,404.72 / $4,129.01	Professional		$2,646.27	$3,404.72	$4,129.01
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 $1,634.56 / $2,490.75 / $4,766.24	Professional		$1,634.56	$2,490.75	$4,766.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,333.40 / $2,745.20 / $3,593.80	Professional		$2,333.40	$2,745.20	$3,593.80