Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,248.07 / $7,943.28	Facility		$2,754.23	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $4,365.16	Professional		$1,584.89	$1,862.09	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,981.07 / $5,011.87	Professional		$2,344.23	$3,981.07	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $5,623.41	Professional		$1,047.13	$2,137.96	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $11,481.54	Facility		$1,621.81	$3,890.45	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,019.95 / $12,882.50	Professional		$1,380.38	$3,019.95	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $4,786.30	Professional		$1,819.70	$3,981.07	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,467.37 / $3,467.37	Professional		$3,090.30	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $19,498.45	Facility		$8,511.38	$11,748.98	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $4,786.30	Professional		$1,288.25	$2,344.23	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $4,073.80	Professional		$2,691.53	$3,467.37	$4,073.80