Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $7,943.28	Facility		$2,570.40	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $4,570.88	Professional		$1,513.56	$2,187.76	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $4,677.35	Professional		$3,715.35	$4,073.80	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $5,370.32	Professional		$1,584.89	$2,884.03	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $7,244.36	Facility		$2,570.40	$4,073.80	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $6,025.60	Professional		$1,949.84	$3,467.37	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $6,165.95	Professional		$3,715.35	$4,570.88	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,570.88	Professional		$3,467.37	$3,467.37	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $5,370.32	Professional		$1,819.70	$2,818.38	$5,370.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $4,073.80	Professional		$2,691.53	$3,467.37	$4,073.80