Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,370.32 / $7,943.28	Facility		$1,995.26	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,467.37	Professional		$1,148.15	$1,659.59	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,162.28 / $3,548.13	Professional		$2,818.38	$3,162.28	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $4,265.80	Professional		$1,230.27	$2,238.72	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $7,244.36	Facility		$2,344.23	$3,311.31	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $4,897.79	Professional		$1,513.56	$2,818.38	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $5,011.87	Professional		$2,884.03	$3,311.31	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,548.13	Professional		$2,691.53	$2,691.53	$3,548.13
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 $1,380.38 / $2,187.76 / $4,168.69	Professional		$1,380.38	$2,187.76	$4,168.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,090.30	Professional		$2,089.30	$2,630.27	$3,090.30