Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,370.32 / $7,943.28	Facility		$3,235.94	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $5,623.41	Professional		$1,905.46	$2,754.23	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,128.61 / $5,623.41	Professional		$4,466.84	$5,128.61	$5,623.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $7,079.46	Professional		$1,995.26	$3,311.31	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,128.61 / $7,244.36	Facility		$2,951.21	$5,128.61	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $7,943.28	Professional		$2,511.89	$4,466.84	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $8,128.31	Professional		$4,570.88	$5,495.41	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $5,754.40	Professional		$4,466.84	$4,466.84	$5,754.40
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 $2,344.23 / $3,630.78 / $6,918.31	Professional		$2,344.23	$3,630.78	$6,918.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $5,011.87	Professional		$3,311.31	$4,265.80	$5,011.87