Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,370.32 / $7,943.28	Facility		$2,454.71	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $4,365.16	Professional		$1,445.44	$2,137.96	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $4,365.16	Professional		$3,467.37	$3,890.45	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $5,370.32	Professional		$1,348.96	$2,511.89	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $7,244.36	Facility		$2,454.71	$4,073.80	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $6,309.57	Professional		$1,995.26	$3,548.13	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $6,456.54	Professional		$3,548.13	$4,265.80	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,365.16	Professional		$3,388.44	$3,388.44	$4,365.16
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 $1,819.70 / $2,691.53 / $5,495.41	Professional		$1,819.70	$2,691.53	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $3,890.45	Professional		$2,570.40	$3,311.31	$3,890.45