Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,370.32 / $7,943.28	Facility		$3,235.94	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $5,888.44	Professional		$2,041.74	$2,691.53	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $6,309.57	Professional		$4,073.80	$5,128.61	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $7,244.36	Professional		$2,041.74	$3,235.94	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,677.35 / $6,606.93	Facility		$2,454.71	$4,677.35	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $16,982.44	Professional		$2,290.87	$4,265.80	$16,982.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $6,456.54	Professional		$4,265.80	$5,370.32	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $6,456.54	Professional		$4,265.80	$4,265.80	$6,456.54
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 $2,187.76 / $3,235.94 / $6,309.57	Professional		$2,187.76	$3,235.94	$6,309.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,677.35 / $5,495.41	Professional		$3,715.35	$4,677.35	$5,495.41