Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $6,760.83	Facility		$1,737.80	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,951.21	Professional		$1,023.29	$1,258.93	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,311.31	Professional		$1,995.26	$2,630.27	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $3,801.89	Professional		$977.24	$1,621.81	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $9,549.93	Facility		$1,584.89	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $8,709.64	Professional		$1,174.90	$2,187.76	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $3,162.28	Professional		$2,089.30	$2,570.40	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $3,090.30	Professional		$2,187.76	$2,238.72	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $3,090.30	Professional		$1,071.52	$1,621.81	$3,090.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,818.38	Professional		$1,862.09	$2,398.83	$2,818.38