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 $1,862.09 / $2,454.71 / $5,248.07	Professional		$1,862.09	$2,454.71	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,677.35 / $5,754.40	Professional		$3,715.35	$4,677.35	$5,754.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $6,606.93	Professional		$1,862.09	$2,951.21	$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 $2,089.30 / $4,073.80 / $15,488.17	Professional		$2,089.30	$4,073.80	$15,488.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,897.79 / $5,888.44	Professional		$3,981.07	$4,897.79	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $5,888.44	Professional		$4,073.80	$4,073.80	$5,888.44
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 / $2,951.21 / $5,754.40	Professional		$1,949.84	$2,951.21	$5,754.40
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