Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $7,943.28	Facility		$3,388.44	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $6,025.60	Professional		$2,137.96	$2,818.38	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $6,606.93	Professional		$4,265.80	$5,370.32	$6,606.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $9,549.93	Professional		$2,089.30	$3,388.44	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $7,079.46	Facility		$2,511.89	$4,897.79	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $17,782.79	Professional		$2,344.23	$4,570.88	$17,782.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $6,760.83	Professional		$4,570.88	$5,495.41	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,570.88 / $6,760.83	Professional		$4,466.84	$4,570.88	$6,760.83
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 $2,238.72 / $3,388.44 / $6,606.93	Professional		$2,238.72	$3,388.44	$6,606.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $5,754.40	Professional		$3,890.45	$4,897.79	$5,754.40