Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,786.30 / $7,079.46	Facility		$1,819.70	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,691.53	Professional		$1,047.13	$1,318.26	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,311.31	Professional		$2,137.96	$2,691.53	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $4,897.79	Professional		$1,096.48	$1,659.59	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $9,772.37	Facility		$1,479.11	$2,630.27	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $8,511.38	Professional		$1,202.26	$2,344.23	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $3,162.28	Professional		$2,398.83	$2,630.27	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,344.23 / $3,162.28	Professional		$2,290.87	$2,344.23	$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 $1,148.15 / $1,659.59 / $3,311.31	Professional		$1,148.15	$1,659.59	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,691.53	Professional		$1,819.70	$2,290.87	$2,691.53