Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.66 / $1,040.32 / $1,040.32	Professional		$1,032.66	$1,040.32	$1,040.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,454.91 / $3,558.56 / $3,662.20	Facility		$3,454.91	$3,558.56	$3,662.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,521.69 / $5,821.88 / $7,277.34	Professional		$2,521.69	$5,821.88	$7,277.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,069.00 / $1,180.53 / $1,758.99	Professional		$1,069.00	$1,180.53	$1,758.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,201.16 / $3,089.46 / $7,305.00	Facility		$1,201.16	$3,089.46	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,947.64 / $6,510.22 / $17,660.59	Professional		$1,947.64	$6,510.22	$17,660.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,947.64 / $3,662.20 / $10,867.67	Facility		$1,947.64	$3,662.20	$10,867.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,201.16 / $4,097.77 / $10,867.67	Professional		$1,201.16	$4,097.77	$10,867.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,917.72 / $10,145.09 / $17,660.59	Professional		$1,917.72	$10,145.09	$17,660.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,014.20 / $1,283.80 / $1,510.30	Professional		$1,014.20	$1,283.80	$1,510.30