Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $7,943.28	Facility		$2,041.74	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $3,630.78	Professional		$1,202.26	$1,698.24	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $3,630.78	Professional		$2,884.03	$3,235.94	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $4,466.84	Professional		$1,288.25	$2,089.30	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $7,244.36	Facility		$2,344.23	$3,388.44	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,884.03 / $5,248.07	Professional		$1,548.82	$2,884.03	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,370.32	Professional		$3,019.95	$3,548.13	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,630.78	Professional		$2,818.38	$2,818.38	$3,630.78
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 $1,513.56 / $2,238.72 / $4,365.16	Professional		$1,513.56	$2,238.72	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,235.94	Professional		$2,187.76	$2,754.23	$3,235.94