Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,370.32 / $7,943.28	Facility		$2,630.27	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $4,677.35	Professional		$1,548.82	$2,238.72	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,168.69 / $4,786.30	Professional		$3,801.89	$4,168.69	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $6,918.31	Professional		$1,513.56	$2,691.53	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,168.69 / $7,244.36	Facility		$2,454.71	$4,168.69	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $6,025.60	Professional		$1,995.26	$3,467.37	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $6,165.95	Professional		$3,890.45	$4,265.80	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,677.35	Professional		$3,467.37	$3,467.37	$4,677.35
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 $1,862.09 / $2,818.38 / $5,495.41	Professional		$1,862.09	$2,818.38	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $4,168.69	Professional		$2,818.38	$3,548.13	$4,168.69