Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,265.80 / $6,760.83	Facility		$1,288.25	$4,265.80	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $4,168.69	Professional		$1,380.38	$1,995.26	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,801.89 / $4,168.69	Professional		$3,388.44	$3,801.89	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $5,495.41	Professional		$1,479.11	$2,691.53	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $7,244.36	Facility		$2,398.83	$3,981.07	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $6,025.60	Professional		$1,819.70	$3,467.37	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $6,165.95	Professional		$3,467.37	$4,168.69	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,265.80	Professional		$3,467.37	$3,467.37	$4,265.80
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 $1,737.80 / $2,691.53 / $5,011.87	Professional		$1,737.80	$2,691.53	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $3,715.35	Professional		$2,511.89	$3,162.28	$3,715.35