Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $7,943.28	Facility		$2,137.96	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,801.89	Professional		$1,258.93	$1,778.28	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,311.31 / $3,801.89	Professional		$3,090.30	$3,311.31	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $4,466.84	Professional		$1,318.26	$2,137.96	$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 $1,621.81 / $2,818.38 / $4,897.79	Professional		$1,621.81	$2,818.38	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,388.44 / $5,011.87	Professional		$3,090.30	$3,388.44	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,801.89	Professional		$2,818.38	$2,818.38	$3,801.89
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 $1,479.11 / $2,238.72 / $4,365.16	Professional		$1,479.11	$2,238.72	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $3,311.31	Professional		$2,238.72	$2,818.38	$3,311.31