Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $7,943.28	Facility		$3,467.37	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $6,165.95	Professional		$2,041.74	$2,951.21	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,495.41 / $6,165.95	Professional		$5,011.87	$5,495.41	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,630.78 / $12,589.25	Professional		$2,137.96	$3,630.78	$12,589.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,244.36	Facility		$2,951.21	$5,248.07	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $8,128.31	Professional		$2,630.27	$4,677.35	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,495.41 / $8,317.64	Professional		$5,011.87	$5,495.41	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $6,165.95	Professional		$4,677.35	$4,677.35	$6,165.95
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 $2,398.83 / $3,801.89 / $7,244.36	Professional		$2,398.83	$3,801.89	$7,244.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,677.35 / $5,495.41	Professional		$3,630.78	$4,677.35	$5,495.41