Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $7,943.28	Facility		$1,819.70	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,754.23	Professional		$1,000.00	$1,230.27	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,311.31	Professional		$2,041.74	$2,630.27	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $3,311.31	Professional		$1,096.48	$1,621.81	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $9,772.37	Facility		$1,412.54	$2,630.27	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $8,511.38	Professional		$1,148.15	$2,238.72	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $3,162.28	Professional		$2,398.83	$2,754.23	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $3,162.28	Professional		$1,995.26	$2,041.74	$3,162.28
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 $1,122.02 / $1,698.24 / $3,235.94	Professional		$1,122.02	$1,698.24	$3,235.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,691.53	Professional		$1,778.28	$2,290.87	$2,691.53