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 $3,090.30 / $3,467.37 / $3,801.89	Professional		$3,090.30	$3,467.37	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $4,365.16	Professional		$1,348.96	$2,137.96	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $7,244.36	Facility		$1,995.26	$3,467.37	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $5,888.44	Professional		$1,659.59	$3,090.30	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $6,606.93	Professional		$3,162.28	$3,801.89	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,890.45	Professional		$2,754.23	$2,754.23	$3,890.45
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 $1,584.89 / $2,454.71 / $4,570.88	Professional		$1,584.89	$2,454.71	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,388.44	Professional		$2,290.87	$2,884.03	$3,388.44