Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $7,943.28	Facility		$2,818.38	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $4,897.79	Professional		$1,621.81	$2,290.87	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,466.84 / $4,897.79	Professional		$3,981.07	$4,466.84	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $5,370.32	Professional		$1,737.80	$2,754.23	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $7,244.36	Facility		$2,570.40	$4,466.84	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $7,585.78	Professional		$2,137.96	$3,981.07	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $8,511.38	Professional		$4,073.80	$4,786.30	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $5,011.87	Professional		$3,388.44	$3,388.44	$5,011.87
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 $2,041.74 / $3,090.30 / $5,888.44	Professional		$2,041.74	$3,090.30	$5,888.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $4,365.16	Professional		$2,951.21	$3,715.35	$4,365.16