Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,370.32 / $7,943.28	Facility		$1,778.28	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $4,570.88	Professional		$1,047.13	$1,513.56	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $3,235.94	Professional		$2,570.40	$2,818.38	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $5,248.07	Professional		$1,096.48	$1,905.46	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $7,244.36	Facility		$2,041.74	$2,951.21	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $4,073.80	Professional		$1,348.96	$2,454.71	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $4,168.69	Professional		$2,630.27	$2,818.38	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,162.28	Professional		$2,344.23	$2,344.23	$3,162.28
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 $1,258.93 / $1,862.09 / $3,630.78	Professional		$1,258.93	$1,862.09	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,818.38	Professional		$1,905.46	$2,398.83	$2,818.38