Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,025.60 / $7,943.28	Facility		$3,467.37	$6,025.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $5,623.41	Professional		$1,949.84	$2,344.23	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $6,165.95	Professional		$3,630.78	$4,897.79	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $8,317.64	Professional		$2,089.30	$3,090.30	$8,317.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $14,125.38	Facility		$2,290.87	$4,570.88	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $16,595.87	Professional		$2,137.96	$4,073.80	$16,595.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,466.84 / $6,309.57	Professional		$3,630.78	$4,466.84	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $6,309.57	Professional		$3,630.78	$4,168.69	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $16,218.10 / $46,773.51	Facility		$10,471.29	$16,218.10	$46,773.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $5,888.44	Professional		$2,089.30	$2,951.21	$5,888.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $5,370.32	Professional		$3,630.78	$4,570.88	$5,370.32