Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,370.32 / $7,943.28	Facility		$1,949.84	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,818.38	Professional		$1,122.02	$1,288.25	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,548.13	Professional		$2,187.76	$2,818.38	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $7,079.46	Professional		$1,096.48	$1,737.80	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,235.94 / $14,454.40	Facility		$1,584.89	$3,235.94	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $14,791.08	Professional		$1,230.27	$2,344.23	$14,791.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $3,311.31	Professional		$2,290.87	$2,818.38	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $3,311.31	Professional		$2,344.23	$2,454.71	$3,311.31
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 $1,174.90 / $1,778.28 / $3,388.44	Professional		$1,174.90	$1,778.28	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,818.38	Professional		$1,905.46	$2,398.83	$2,818.38