Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,165.95 / $7,943.28	Facility		$4,265.80	$6,165.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,248.07 / $10,715.19	Professional		$3,630.78	$5,248.07	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,912.51 / $10,964.78	Professional		$8,709.64	$8,912.51	$10,964.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $12,589.25	Professional		$2,398.83	$4,365.16	$12,589.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,244.36 / $10,964.78	Facility		$2,344.23	$7,244.36	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,918.31 / $12,882.50	Professional		$2,398.83	$6,918.31	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $9,772.37 / $10,964.78	Professional		$5,370.32	$9,772.37	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $10,964.78	Professional		$8,128.31	$8,128.31	$10,964.78
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 $2,187.76 / $6,165.95 / $12,882.50	Professional		$2,187.76	$6,165.95	$12,882.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $8,128.31 / $9,549.93	Professional		$6,456.54	$8,128.31	$9,549.93