Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,370.32 / $7,943.28	Facility		$1,949.84	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,467.37	Professional		$1,148.15	$1,621.81	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,090.30 / $3,467.37	Professional		$2,754.23	$3,090.30	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $4,677.35	Professional		$1,230.27	$1,995.26	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $7,244.36	Facility		$2,290.87	$3,388.44	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $5,011.87	Professional		$1,479.11	$2,754.23	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $5,128.61	Professional		$2,818.38	$3,388.44	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,467.37	Professional		$2,630.27	$2,630.27	$3,467.37
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 / $2,137.96 / $4,073.80	Professional		$1,412.54	$2,137.96	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,090.30	Professional		$2,041.74	$2,630.27	$3,090.30