Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $7,943.28	Facility		$3,019.95	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $5,370.32	Professional		$1,778.28	$2,570.40	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,786.30 / $5,370.32	Professional		$4,365.16	$4,786.30	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $6,456.54	Professional		$1,862.09	$2,951.21	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $7,244.36	Facility		$2,951.21	$4,786.30	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,981.07 / $6,606.93	Professional		$2,290.87	$3,981.07	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,786.30 / $6,309.57	Professional		$4,265.80	$4,786.30	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,370.32	Professional		$4,168.69	$4,168.69	$5,370.32
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 $2,137.96 / $3,090.30 / $6,309.57	Professional		$2,137.96	$3,090.30	$6,309.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $4,786.30	Professional		$3,162.28	$4,073.80	$4,786.30