Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $7,943.28	Facility		$3,162.28	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $5,495.41	Professional		$1,862.09	$2,691.53	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,011.87 / $5,754.40	Professional		$4,570.88	$5,011.87	$5,754.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $8,128.31	Professional		$1,949.84	$2,754.23	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,786.30 / $7,244.36	Facility		$2,187.76	$4,786.30	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $6,606.93	Professional		$2,041.74	$3,890.45	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,011.87 / $5,623.41	Professional		$3,388.44	$5,011.87	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $5,623.41	Professional		$3,981.07	$3,981.07	$5,623.41
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 $1,905.46 / $3,162.28 / $6,456.54	Professional		$1,905.46	$3,162.28	$6,456.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $5,011.87	Professional		$3,388.44	$4,265.80	$5,011.87