Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,248.07 / $7,943.28	Facility		$2,398.83	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $3,801.89	Professional		$1,380.38	$1,621.81	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $4,365.16	Professional		$2,818.38	$3,467.37	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $5,623.41	Professional		$1,412.54	$2,137.96	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,073.80 / $32,359.37	Facility		$1,819.70	$4,073.80	$32,359.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $5,623.41	Professional		$1,548.82	$3,019.95	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $4,168.69	Professional		$2,951.21	$3,548.13	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,090.30 / $4,168.69	Professional		$2,951.21	$3,090.30	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $16,218.10 / $34,673.69	Facility		$10,471.29	$16,218.10	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $4,365.16	Professional		$1,513.56	$2,344.23	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $3,548.13	Professional		$2,344.23	$3,019.95	$3,548.13