Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,370.32 / $7,943.28	Facility		$2,187.76	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $5,370.32	Professional		$1,258.93	$1,819.70	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,388.44 / $3,890.45	Professional		$3,162.28	$3,388.44	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $4,570.88	Professional		$1,318.26	$2,137.96	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $7,244.36	Facility		$2,041.74	$3,467.37	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $5,011.87	Professional		$1,621.81	$2,884.03	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $5,128.61	Professional		$3,162.28	$3,467.37	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,801.89	Professional		$2,884.03	$2,884.03	$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 $1,513.56 / $2,290.87 / $4,466.84	Professional		$1,513.56	$2,290.87	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,388.44	Professional		$2,290.87	$2,884.03	$3,388.44