Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $7,943.28	Facility		$4,265.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $6,309.57	Professional		$2,454.71	$2,884.03	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,165.95 / $7,762.47	Professional		$4,570.88	$6,165.95	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $7,244.36	Professional		$2,344.23	$3,801.89	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,754.40 / $14,125.38	Facility		$3,467.37	$5,754.40	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $20,417.38	Professional		$2,570.40	$5,128.61	$20,417.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $7,413.10	Professional		$5,011.87	$6,165.95	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $7,413.10	Professional		$4,365.16	$5,495.41	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $16,218.10 / $46,773.51	Facility		$10,471.29	$16,218.10	$46,773.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $7,413.10	Professional		$2,570.40	$3,890.45	$7,413.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,370.32 / $6,309.57	Professional		$4,168.69	$5,370.32	$6,309.57