Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $2,511.89	Facility		$2,041.74	$2,137.96	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,511.89	Professional		$1,258.93	$1,548.82	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,090.30	Facility		$2,398.83	$2,398.83	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $4,365.16	Professional		$2,398.83	$3,467.37	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $3,890.45	Professional		$2,630.27	$3,235.94	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $14,125.38	Facility		$1,905.46	$3,548.13	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $5,754.40	Professional		$1,318.26	$1,995.26	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,162.28 / $7,244.36	Professional		$3,019.95	$3,162.28	$7,244.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $4,570.88	Professional		$3,090.30	$4,570.88	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,862.09 / $4,365.16	Facility		$707.95	$1,862.09	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $2,511.89	Professional		$1,318.26	$1,479.11	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $2,691.53	Professional		$2,137.96	$2,691.53	$2,691.53