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 $1,479.11 / $2,137.96 / $4,466.84	Professional		$1,479.11	$2,137.96	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $4,570.88	Professional		$3,715.35	$4,073.80	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $6,606.93	Professional		$1,584.89	$2,818.38	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $7,244.36	Facility		$2,511.89	$4,073.80	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $5,888.44	Professional		$1,949.84	$3,388.44	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $6,165.95	Professional		$3,715.35	$4,073.80	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,570.88	Professional		$3,388.44	$3,388.44	$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 $1,778.28 / $2,754.23 / $5,248.07	Professional		$1,778.28	$2,754.23	$5,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $3,981.07	Professional		$2,691.53	$3,388.44	$3,981.07