Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $7,943.28	Facility		$1,905.46	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,311.31	Professional		$1,122.02	$1,621.81	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,090.30 / $3,388.44	Professional		$2,754.23	$3,090.30	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $4,168.69	Professional		$1,202.26	$1,949.84	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $7,244.36	Facility		$2,238.72	$3,235.94	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $4,677.35	Professional		$1,479.11	$2,630.27	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $4,786.30	Professional		$2,818.38	$3,235.94	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,467.37	Professional		$2,630.27	$2,630.27	$3,467.37
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 $1,380.38 / $2,137.96 / $4,073.80	Professional		$1,380.38	$2,137.96	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,019.95	Professional		$2,041.74	$2,570.40	$3,019.95