Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,370.32 / $7,943.28	Facility		$1,778.28	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $3,162.28	Professional		$1,047.13	$1,479.11	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,818.38 / $3,162.28	Professional		$2,511.89	$2,818.38	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $4,677.35	Professional		$1,122.02	$1,819.70	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $7,244.36	Facility		$2,137.96	$3,019.95	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $4,466.84	Professional		$1,380.38	$2,511.89	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,570.88	Professional		$2,630.27	$3,090.30	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,162.28	Professional		$2,511.89	$2,511.89	$3,162.28
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 $1,318.26 / $1,949.84 / $3,801.89	Professional		$1,318.26	$1,949.84	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,818.38	Professional		$1,905.46	$2,398.83	$2,818.38