Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,370.32 / $7,943.28	Facility		$2,951.21	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $5,128.61	Professional		$1,905.46	$2,454.71	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,570.88 / $5,754.40	Professional		$3,801.89	$4,570.88	$5,754.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $6,606.93	Professional		$1,862.09	$2,884.03	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $6,606.93	Facility		$2,344.23	$4,365.16	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $15,488.17	Professional		$2,137.96	$3,981.07	$15,488.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $6,025.60	Professional		$3,981.07	$4,677.35	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $6,025.60	Professional		$3,981.07	$3,981.07	$6,025.60
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 $1,995.26 / $2,951.21 / $5,754.40	Professional		$1,995.26	$2,951.21	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $4,897.79	Professional		$3,311.31	$4,168.69	$4,897.79