Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $2,754.23	Facility		$2,041.74	$2,454.71	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,511.89	Professional		$1,230.27	$1,659.59	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,548.13	Facility		$1,737.80	$1,737.80	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,801.89 / $4,786.30	Professional		$1,737.80	$3,801.89	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $3,630.78	Professional		$2,818.38	$3,311.31	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $14,791.08	Facility		$2,137.96	$4,073.80	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $5,248.07	Professional		$1,513.56	$2,089.30	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,630.78 / $4,265.80	Professional		$3,467.37	$3,630.78	$4,265.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,248.07 / $5,248.07	Professional		$3,235.94	$5,248.07	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $4,570.88	Facility		$1,380.38	$2,137.96	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $2,884.03	Professional		$1,445.44	$1,621.81	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,090.30	Professional		$2,454.71	$3,090.30	$3,090.30