Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.88 / $2,061.27 / $2,795.48	Professional		$1,290.88	$2,061.27	$2,795.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,658.12 / $3,499.25 / $4,570.39	Professional		$2,658.12	$3,499.25	$4,570.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.33 / $2,275.94 / $4,966.55	Professional		$1,305.33	$2,275.94	$4,966.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,964.02 / $3,483.55 / $8,523.00	Facility		$1,964.02	$3,483.55	$8,523.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,847.04 / $3,474.70 / $11,810.40	Professional		$1,847.04	$3,474.70	$11,810.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,084.25 / $3,204.00 / $4,322.22	Facility		$1,084.25	$3,204.00	$4,322.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,823.22 / $3,474.70 / $4,322.22	Professional		$2,823.22	$3,474.70	$4,322.22
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 $1,686.43 / $2,755.09 / $5,228.39	Professional		$1,686.43	$2,755.09	$5,228.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,437.55 / $2,944.50 / $3,630.00	Professional		$2,437.55	$2,944.50	$3,630.00