Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $7,943.28	Facility		$1,621.81	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,951.21	Professional		$1,023.29	$1,230.27	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $3,235.94	Professional		$1,621.81	$2,570.40	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $3,162.28	Professional		$891.25	$1,584.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $5,888.44	Facility		$1,479.11	$2,570.40	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $9,549.93	Professional		$1,047.13	$1,905.46	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,235.94	Professional		$1,862.09	$2,511.89	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $3,162.28	Professional		$1,548.82	$1,778.28	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $6,456.54	Facility		$2,818.38	$5,011.87	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $3,090.30	Professional		$1,023.29	$1,479.11	$3,090.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,754.23	Professional		$1,862.09	$2,344.23	$2,754.23