Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $7,943.28	Facility		$3,467.37	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $6,025.60	Professional		$2,041.74	$2,951.21	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,128.61 / $6,309.57	Professional		$5,011.87	$5,128.61	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $6,918.31	Professional		$2,137.96	$3,019.95	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,128.61 / $7,244.36	Facility		$2,290.87	$5,128.61	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,168.69 / $7,244.36	Professional		$1,995.26	$4,168.69	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,495.41 / $6,165.95	Professional		$3,548.13	$5,495.41	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $6,165.95	Professional		$4,365.16	$4,365.16	$6,165.95
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 $1,949.84 / $3,467.37 / $7,079.46	Professional		$1,949.84	$3,467.37	$7,079.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,677.35 / $5,495.41	Professional		$3,630.78	$4,677.35	$5,495.41