Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,344.23 / $2,511.89	Facility		$2,238.72	$2,344.23	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,570.40	Professional		$1,288.25	$1,548.82	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,388.44	Facility		$1,949.84	$1,949.84	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $4,365.16	Professional		$1,949.84	$3,467.37	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,630.78	Professional		$2,884.03	$3,019.95	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $14,125.38	Facility		$2,041.74	$3,890.45	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $5,011.87	Professional		$1,445.44	$2,041.74	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,467.37 / $4,073.80	Professional		$3,311.31	$3,467.37	$4,073.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,011.87 / $5,011.87	Professional		$3,090.30	$5,011.87	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $4,365.16	Facility		$1,318.26	$2,238.72	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $2,754.23	Professional		$1,380.38	$1,548.82	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $2,951.21	Professional		$2,344.23	$2,951.21	$2,951.21