Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,248.07 / $7,943.28	Facility		$2,630.27	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $3,801.89	Professional		$1,548.82	$1,905.46	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $4,786.30	Professional		$3,090.30	$3,890.45	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $7,762.47	Professional		$1,584.89	$2,398.83	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $11,481.54	Facility		$2,041.74	$3,801.89	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $16,982.44	Professional		$1,737.80	$3,388.44	$16,982.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $4,570.88	Professional		$3,467.37	$3,890.45	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,388.44 / $4,570.88	Professional		$3,311.31	$3,388.44	$4,570.88
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 $1,659.59 / $2,454.71 / $4,786.30	Professional		$1,659.59	$2,454.71	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $3,890.45	Professional		$2,630.27	$3,311.31	$3,890.45