Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $7,943.28	Facility		$3,890.45	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $8,128.31	Professional		$2,238.72	$2,884.03	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,623.41 / $7,079.46	Professional		$3,467.37	$5,623.41	$7,079.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $7,943.28	Professional		$1,698.24	$3,162.28	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,370.32 / $11,481.54	Facility		$2,187.76	$5,370.32	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,466.84 / $18,197.01	Professional		$2,187.76	$4,466.84	$18,197.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,623.41 / $6,760.83	Professional		$3,235.94	$5,623.41	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,011.87 / $5,248.07	Professional		$4,786.30	$5,011.87	$5,248.07
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 $2,137.96 / $3,388.44 / $6,760.83	Professional		$2,137.96	$3,388.44	$6,760.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,897.79 / $5,754.40	Professional		$3,801.89	$4,897.79	$5,754.40