Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,370.32 / $7,943.28	Facility		$2,630.27	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $4,677.35	Professional		$1,548.82	$2,238.72	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,168.69 / $4,786.30	Professional		$3,801.89	$4,168.69	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,951.21 / $6,606.93	Professional		$1,621.81	$2,951.21	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $7,244.36	Facility		$2,630.27	$4,168.69	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $6,309.57	Professional		$1,995.26	$3,548.13	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,265.80 / $6,456.54	Professional		$3,801.89	$4,265.80	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,677.35	Professional		$3,467.37	$3,467.37	$4,677.35
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 $2,754.23 / $3,548.13 / $4,168.69	Professional		$2,754.23	$3,548.13	$4,168.69