Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $7,943.28	Facility		$2,754.23	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $4,897.79	Professional		$1,621.81	$2,290.87	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,365.16 / $4,897.79	Professional		$3,890.45	$4,365.16	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $6,606.93	Professional		$1,737.80	$2,884.03	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,677.35 / $7,244.36	Facility		$2,754.23	$4,677.35	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,073.80 / $6,918.31	Professional		$2,238.72	$4,073.80	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,677.35 / $7,079.46	Professional		$4,073.80	$4,677.35	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,897.79	Professional		$4,168.69	$4,168.69	$4,897.79
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 $1,995.26 / $3,162.28 / $5,888.44	Professional		$1,995.26	$3,162.28	$5,888.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $4,365.16	Professional		$2,951.21	$3,715.35	$4,365.16