Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $6,760.83	Facility		$2,089.30	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,162.28	Professional		$1,202.26	$1,513.56	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $4,073.80	Professional		$1,949.84	$3,235.94	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $4,897.79	Professional		$1,096.48	$1,778.28	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,235.94 / $7,244.36	Facility		$1,445.44	$3,235.94	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $10,964.78	Professional		$1,230.27	$2,511.89	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $3,467.37	Professional		$1,949.84	$3,019.95	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,630.27 / $3,162.28	Professional		$2,570.40	$2,630.27	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $7,762.47	Facility		$3,162.28	$5,495.41	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $3,548.13	Professional		$1,174.90	$1,819.70	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,235.94	Professional		$2,187.76	$2,754.23	$3,235.94