Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,981.07 / $6,760.83	Facility		$2,290.87	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $3,630.78	Professional		$1,318.26	$1,548.82	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,311.31 / $4,168.69	Professional		$2,041.74	$3,311.31	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $4,677.35	Professional		$1,122.02	$1,862.09	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,548.13 / $17,378.01	Facility		$1,513.56	$3,548.13	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $10,715.19	Professional		$1,288.25	$2,570.40	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $3,981.07	Professional		$1,819.70	$3,311.31	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,884.03 / $3,715.35	Professional		$2,818.38	$2,884.03	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $3,890.45	Professional		$1,174.90	$1,949.84	$3,890.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,388.44	Professional		$2,238.72	$2,884.03	$3,388.44