Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,760.83 / $7,943.28	Facility		$4,265.80	$6,760.83	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $6,165.95 / $12,882.50	Professional		$4,265.80	$6,165.95	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $13,182.57	Professional		$10,471.29	$10,471.29	$13,182.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,456.54 / $15,135.61	Professional		$4,466.84	$6,456.54	$15,135.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,943.28 / $12,882.50	Facility		$2,951.21	$7,943.28	$12,882.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $9,332.54 / $15,488.17	Professional		$4,897.79	$9,332.54	$15,488.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $11,481.54 / $12,882.50	Professional		$8,709.64	$11,481.54	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $12,882.50	Professional		$9,772.37	$9,772.37	$12,882.50
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 $4,786.30 / $7,413.10 / $15,135.61	Professional		$4,786.30	$7,413.10	$15,135.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $9,549.93 / $11,481.54	Professional		$7,585.78	$9,549.93	$11,481.54