Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,370.32 / $7,943.28	Facility		$3,715.35	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $6,606.93	Professional		$2,187.76	$3,162.28	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,888.44 / $6,606.93	Professional		$5,370.32	$5,888.44	$6,606.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,801.89 / $9,772.37	Professional		$2,398.83	$3,801.89	$9,772.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,495.41 / $7,244.36	Facility		$2,344.23	$5,495.41	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $9,120.11	Professional		$2,884.03	$5,370.32	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $9,549.93	Professional		$4,570.88	$5,888.44	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
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 $2,754.23 / $4,168.69 / $7,943.28	Professional		$2,754.23	$4,168.69	$7,943.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $5,888.44	Professional		$3,981.07	$5,011.87	$5,888.44