Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $7,943.28	Facility		$2,290.87	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $4,073.80	Professional		$1,445.44	$1,819.70	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $4,466.84	Professional		$2,884.03	$3,630.78	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $5,011.87	Professional		$1,380.38	$2,238.72	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $6,606.93	Facility		$1,905.46	$3,388.44	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $12,022.64	Professional		$1,584.89	$2,884.03	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $4,570.88	Professional		$3,019.95	$3,548.13	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,570.88	Professional		$2,884.03	$2,884.03	$4,570.88
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 $1,479.11 / $2,238.72 / $4,365.16	Professional		$1,479.11	$2,238.72	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $3,890.45	Professional		$2,630.27	$3,311.31	$3,890.45