Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,370.32 / $7,943.28	Facility		$1,949.84	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,548.13	Professional		$1,230.27	$1,621.81	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $3,890.45	Professional		$2,511.89	$3,090.30	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $4,265.80	Professional		$1,230.27	$1,905.46	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $6,606.93	Facility		$1,659.59	$2,951.21	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $10,232.93	Professional		$1,380.38	$2,511.89	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $3,890.45	Professional		$2,630.27	$3,162.28	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,890.45	Professional		$2,511.89	$2,511.89	$3,890.45
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 $1,288.25 / $1,949.84 / $3,801.89	Professional		$1,288.25	$1,949.84	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $3,311.31	Professional		$2,238.72	$2,818.38	$3,311.31