Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $7,943.28	Facility		$1,905.46	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,388.44	Professional		$1,122.02	$1,621.81	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $3,467.37	Professional		$2,818.38	$3,019.95	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $4,073.80	Professional		$1,202.26	$1,995.26	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $7,244.36	Facility		$2,089.30	$3,090.30	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $4,365.16	Professional		$1,445.44	$2,570.40	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $4,265.80	Professional		$2,818.38	$3,090.30	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,467.37	Professional		$2,511.89	$2,511.89	$3,467.37
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 $1,348.96 / $1,995.26 / $3,981.07	Professional		$1,348.96	$1,995.26	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,019.95	Professional		$2,041.74	$2,570.40	$3,019.95