Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,025.60 / $7,943.28	Facility		$1,905.46	$6,025.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,090.30	Professional		$1,122.02	$1,584.89	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,951.21 / $3,467.37	Professional		$2,754.23	$2,951.21	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $4,365.16	Professional		$1,148.15	$1,819.70	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,897.79 / $9,772.37	Facility		$2,137.96	$4,897.79	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $4,168.69	Professional		$1,445.44	$2,398.83	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,019.95 / $4,265.80	Professional		$2,691.53	$3,019.95	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,311.31	Professional		$2,398.83	$2,398.83	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,413.10 / $10,232.93	Facility		$4,570.88	$7,413.10	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,890.45	Professional		$1,318.26	$1,905.46	$3,890.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $2,951.21	Professional		$1,949.84	$2,511.89	$2,951.21