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 $3,019.95 / $3,388.44 / $3,801.89	Professional		$3,019.95	$3,388.44	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $4,677.35	Professional		$1,348.96	$2,187.76	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $7,244.36	Facility		$2,238.72	$3,467.37	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,951.21 / $4,897.79	Professional		$1,621.81	$2,951.21	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $3,981.07	Professional		$2,691.53	$3,388.44	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,801.89	Professional		$3,019.95	$3,019.95	$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 $2,238.72 / $2,884.03 / $3,388.44	Professional		$2,238.72	$2,884.03	$3,388.44