Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $6,760.83	Facility		$2,630.27	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $3,801.89	Professional		$1,513.56	$1,737.80	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,677.35	Professional		$2,884.03	$3,801.89	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $6,456.54	Professional		$1,380.38	$2,290.87	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $8,912.51	Facility		$2,344.23	$4,073.80	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $12,022.64	Professional		$1,621.81	$3,235.94	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,630.78 / $4,466.84	Professional		$3,019.95	$3,630.78	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,235.94 / $4,466.84	Professional		$3,090.30	$3,235.94	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $4,466.84	Professional		$1,548.82	$2,344.23	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $3,801.89	Professional		$2,511.89	$3,162.28	$3,801.89