Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,570.88	Facility		$3,801.89	$3,801.89	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $5,248.07	Professional		$1,995.26	$3,467.37	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $6,309.57	Facility		$3,467.37	$3,467.37	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $7,413.10 / $9,120.11	Professional		$549.54	$7,413.10	$9,120.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $8,128.31	Professional		$602.56	$602.56	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $7,585.78 / $33,113.11	Facility		$691.83	$7,585.78	$33,113.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $7,413.10	Professional		$2,398.83	$3,235.94	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,165.95 / $14,454.40	Professional		$5,888.44	$6,165.95	$14,454.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,456.54	Facility		$6,309.57	$6,309.57	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,290.87 / $4,677.35	Facility		$269.15	$2,290.87	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $8,511.38	Professional		$2,884.03	$3,388.44	$8,511.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,754.40 / $5,754.40	Professional		$4,466.84	$5,754.40	$5,754.40