Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,454.71	Facility		$1,905.46	$1,905.46	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,019.95	Professional		$1,202.26	$1,584.89	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,467.37 / $4,677.35	Professional		$2,187.76	$3,467.37	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $5,128.61	Professional		$1,202.26	$1,949.84	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,467.37 / $8,317.64	Facility		$1,862.09	$3,467.37	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,311.31 / $10,471.29	Professional		$1,778.28	$3,311.31	$10,471.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $4,168.69	Professional		$2,951.21	$3,467.37	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $4,168.69	Professional		$2,754.23	$3,388.44	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,511.38 / $11,748.98	Facility		$5,128.61	$8,511.38	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $4,073.80	Professional		$1,348.96	$2,238.72	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $3,630.78	Professional		$2,344.23	$2,754.23	$3,630.78