Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $7,943.28	Facility		$2,818.38	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $5,011.87	Professional		$1,659.59	$2,398.83	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,466.84 / $5,011.87	Professional		$4,073.80	$4,466.84	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $6,760.83	Professional		$1,737.80	$2,818.38	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,466.84 / $7,244.36	Facility		$2,818.38	$4,466.84	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,801.89 / $6,456.54	Professional		$2,137.96	$3,801.89	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,466.84 / $6,165.95	Professional		$4,073.80	$4,466.84	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,011.87	Professional		$3,801.89	$3,801.89	$5,011.87
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 $1,949.84 / $2,951.21 / $5,888.44	Professional		$1,949.84	$2,951.21	$5,888.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,801.89 / $4,466.84	Professional		$2,951.21	$3,801.89	$4,466.84