Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,981.07 / $6,760.83	Facility		$2,238.72	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $8,317.64	Professional		$1,348.96	$2,818.38	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,548.13 / $4,168.69	Professional		$3,311.31	$3,548.13	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $7,943.28	Professional		$1,380.38	$2,137.96	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,981.07 / $9,772.37	Facility		$2,238.72	$3,981.07	$9,772.37
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility	62	$6,606.93	$6,606.93	$6,606.93
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	AS	$1,047.13	$1,047.13	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $4,677.35	Professional		$1,584.89	$2,630.27	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $5,011.87	Professional		$2,818.38	$3,630.78	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $10,715.19	Facility		$4,786.30	$7,762.47	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,981.07	Professional		$1,479.11	$2,041.74	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,162.28	Professional		$2,137.96	$2,691.53	$3,162.28