Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,370.32 / $7,943.28	Facility		$3,235.94	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $5,623.41	Professional		$1,862.09	$2,691.53	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,011.87 / $5,754.40	Professional		$4,570.88	$5,011.87	$5,754.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $7,079.46	Professional		$1,995.26	$3,235.94	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,897.79 / $7,244.36	Facility		$2,818.38	$4,897.79	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $7,244.36	Professional		$2,454.71	$4,466.84	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,128.61 / $6,918.31	Professional		$4,677.35	$5,128.61	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $5,754.40	Professional		$4,466.84	$4,466.84	$5,754.40
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 $2,238.72 / $3,311.31 / $6,760.83	Professional		$2,238.72	$3,311.31	$6,760.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $5,011.87	Professional		$3,388.44	$4,265.80	$5,011.87