Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,370.32 / $7,943.28	Facility		$2,951.21	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $5,248.07	Professional		$1,737.80	$2,511.89	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,677.35 / $5,248.07	Professional		$4,265.80	$4,677.35	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $7,079.46	Professional		$1,819.70	$3,311.31	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $7,244.36	Facility		$2,951.21	$4,677.35	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,073.80 / $7,079.46	Professional		$2,238.72	$4,073.80	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,897.79 / $7,244.36	Professional		$4,265.80	$4,897.79	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $5,248.07	Professional		$3,890.45	$3,890.45	$5,248.07
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 $2,089.30 / $3,235.94 / $6,165.95	Professional		$2,089.30	$3,235.94	$6,165.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,677.35	Professional		$3,090.30	$3,981.07	$4,677.35