Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,370.32 / $7,943.28	Facility		$3,235.94	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $5,495.41	Professional		$1,905.46	$2,754.23	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,011.87 / $5,888.44	Professional		$4,677.35	$5,011.87	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $6,456.54	Professional		$1,995.26	$2,818.38	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,786.30 / $7,244.36	Facility		$2,398.83	$4,786.30	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $6,760.83	Professional		$2,089.30	$3,981.07	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,128.61 / $5,754.40	Professional		$3,388.44	$5,128.61	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $5,754.40	Professional		$4,073.80	$4,073.80	$5,754.40
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 / $3,235.94 / $6,606.93	Professional		$1,949.84	$3,235.94	$6,606.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $5,128.61	Professional		$3,388.44	$4,265.80	$5,128.61