Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $7,943.28	Facility		$2,754.23	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,897.79	Professional		$1,621.81	$2,344.23	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,365.16 / $4,897.79	Professional		$3,981.07	$4,365.16	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $6,025.60	Professional		$1,698.24	$2,884.03	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $7,244.36	Facility		$2,754.23	$4,365.16	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $6,760.83	Professional		$2,089.30	$3,801.89	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,570.88 / $6,918.31	Professional		$3,981.07	$4,570.88	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,897.79	Professional		$3,801.89	$3,801.89	$4,897.79
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 $1,905.46 / $3,019.95 / $5,754.40	Professional		$1,905.46	$3,019.95	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $4,265.80	Professional		$2,884.03	$3,630.78	$4,265.80