Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,248.07 / $7,943.28	Facility		$3,467.37	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $8,511.38	Professional		$1,995.26	$2,511.89	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,309.57	Professional		$3,801.89	$5,011.87	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $12,022.64	Professional		$1,995.26	$3,019.95	$12,022.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,754.40 / $14,791.08	Facility		$3,090.30	$5,754.40	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $19,498.45	Professional		$2,238.72	$4,265.80	$19,498.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $5,888.44	Professional		$4,168.69	$5,011.87	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,888.44	Professional		$4,265.80	$4,265.80	$5,888.44
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 $2,137.96 / $3,162.28 / $6,165.95	Professional		$2,137.96	$3,162.28	$6,165.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $5,011.87	Professional		$3,388.44	$4,265.80	$5,011.87