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 $1,995.26 / $2,630.27 / $5,754.40	Professional		$1,995.26	$2,630.27	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $6,309.57	Professional		$4,073.80	$5,011.87	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $7,079.46	Professional		$2,041.74	$3,162.28	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,677.35 / $6,760.83	Facility		$2,344.23	$4,677.35	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,365.16 / $16,595.87	Professional		$2,290.87	$4,365.16	$16,595.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $6,309.57	Professional		$4,365.16	$5,248.07	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $6,309.57	Professional		$4,466.84	$4,466.84	$6,309.57
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 $2,137.96 / $3,162.28 / $6,309.57	Professional		$2,137.96	$3,162.28	$6,309.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $5,370.32	Professional		$3,630.78	$4,570.88	$5,370.32