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 $1,288.25 / $1,819.70 / $3,890.45	Professional		$1,288.25	$1,819.70	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $3,890.45	Professional		$3,162.28	$3,548.13	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $4,786.30	Professional		$1,380.38	$2,344.23	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $7,244.36	Facility		$2,344.23	$3,715.35	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $5,623.41	Professional		$1,698.24	$3,090.30	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $5,754.40	Professional		$3,235.94	$3,801.89	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,981.07	Professional		$3,019.95	$3,019.95	$3,981.07
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 $1,621.81 / $2,454.71 / $4,677.35	Professional		$1,621.81	$2,454.71	$4,677.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,467.37	Professional		$2,344.23	$2,951.21	$3,467.37