Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $7,943.28	Facility		$2,041.74	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,630.78	Professional		$1,202.26	$1,737.80	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $3,630.78	Professional		$2,951.21	$3,162.28	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $5,248.07	Professional		$1,258.93	$1,995.26	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $7,244.36	Facility		$2,290.87	$3,235.94	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $4,677.35	Professional		$1,548.82	$2,691.53	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $4,265.80	Professional		$2,818.38	$3,235.94	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,630.78	Professional		$2,691.53	$2,691.53	$3,630.78
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 $1,412.54 / $2,089.30 / $4,168.69	Professional		$1,412.54	$2,089.30	$4,168.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,162.28	Professional		$2,137.96	$2,691.53	$3,162.28