Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $7,943.28	Facility		$3,162.28	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $5,128.61	Professional		$1,737.80	$2,187.76	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $5,623.41	Professional		$3,467.37	$4,570.88	$5,623.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $5,888.44	Professional		$1,659.59	$2,818.38	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $14,791.08	Facility		$2,398.83	$4,897.79	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,715.35 / $15,135.61	Professional		$1,995.26	$3,715.35	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $5,754.40	Professional		$3,467.37	$4,466.84	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $5,754.40	Professional		$3,467.37	$3,890.45	$5,754.40
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 $1,862.09 / $2,818.38 / $5,370.32	Professional		$1,862.09	$2,818.38	$5,370.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $4,897.79	Professional		$3,235.94	$4,168.69	$4,897.79