Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,981.07 / $6,760.83	Facility		$2,570.40	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $4,466.84	Professional		$1,513.56	$2,187.76	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $4,677.35	Professional		$3,715.35	$4,073.80	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $6,606.93	Professional		$1,584.89	$2,511.89	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $8,511.38 / $14,791.08	Facility		$2,884.03	$8,511.38	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $6,025.60	Professional		$1,949.84	$3,235.94	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,073.80 / $6,165.95	Professional		$3,235.94	$4,073.80	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,570.88	Professional		$3,162.28	$3,162.28	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $11,481.54 / $15,135.61	Facility		$7,244.36	$11,481.54	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $5,248.07	Professional		$1,862.09	$2,754.23	$5,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $4,073.80	Professional		$2,754.23	$3,467.37	$4,073.80