Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,606.93 / $8,128.31	Facility		$2,630.27	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $3,801.89	Professional		$1,412.54	$1,778.28	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,548.13 / $4,466.84	Professional		$1,862.09	$3,548.13	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $4,265.80	Professional		$1,096.48	$1,905.46	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,073.80 / $10,232.93	Facility		$2,238.72	$4,073.80	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $11,220.18	Professional		$1,621.81	$2,818.38	$11,220.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $4,073.80	Professional		$2,454.71	$3,311.31	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $10,964.78	Facility		$5,128.61	$8,128.31	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $4,073.80	Professional		$1,513.56	$2,238.72	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $3,311.31	Professional		$2,238.72	$3,090.30	$3,311.31