Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,370.32 / $7,943.28	Facility		$2,187.76	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $3,235.94	Professional		$1,258.93	$1,445.44	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $3,890.45	Professional		$2,454.71	$3,162.28	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $4,365.16	Professional		$1,230.27	$1,905.46	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,090.30 / $11,481.54	Facility		$1,778.28	$3,090.30	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,754.23 / $10,232.93	Professional		$1,380.38	$2,754.23	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,715.35	Professional		$2,691.53	$3,162.28	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $3,715.35	Professional		$2,630.27	$2,754.23	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $34,673.69	Facility		$8,511.38	$13,489.63	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,801.89	Professional		$1,318.26	$1,949.84	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,162.28	Professional		$2,137.96	$2,691.53	$3,162.28