Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,786.30 / $19,952.62	Facility		$2,137.96	$4,786.30	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $4,365.16	Professional		$1,202.26	$1,548.82	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,890.45	Professional		$2,454.71	$3,090.30	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $6,456.54	Professional		$1,230.27	$1,778.28	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $14,454.40	Facility		$2,089.30	$3,467.37	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $12,589.25	Professional		$1,380.38	$2,630.27	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,548.13	Professional		$2,691.53	$3,162.28	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $3,548.13	Professional		$2,630.27	$2,691.53	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,964.78 / $15,848.93	Facility		$7,413.10	$10,964.78	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,801.89	Professional		$1,288.25	$1,949.84	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,019.95	Professional		$2,041.74	$2,570.40	$3,019.95