Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,370.32 / $7,943.28	Facility		$2,454.71	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,365.16	Professional		$1,445.44	$2,089.30	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,890.45 / $4,365.16	Professional		$3,548.13	$3,890.45	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $6,309.57	Professional		$1,513.56	$2,754.23	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,890.45 / $7,244.36	Facility		$2,454.71	$3,890.45	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,388.44 / $5,754.40	Professional		$1,862.09	$3,388.44	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,981.07 / $5,888.44	Professional		$3,548.13	$3,981.07	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,365.16	Professional		$3,235.94	$3,235.94	$4,365.16
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 $1,698.24 / $2,630.27 / $5,011.87	Professional		$1,698.24	$2,630.27	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $3,801.89	Professional		$2,570.40	$3,235.94	$3,801.89