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 $2,187.76 / $2,951.21 / $6,456.54	Professional		$2,187.76	$2,951.21	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $7,762.47	Professional		$4,786.30	$6,309.57	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $8,128.31	Professional		$2,398.83	$3,890.45	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,623.41 / $14,125.38	Facility		$3,630.78	$5,623.41	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $20,892.96	Professional		$2,754.23	$5,370.32	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $7,413.10	Professional		$4,786.30	$6,309.57	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,370.32 / $7,413.10	Professional		$4,897.79	$5,370.32	$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 $2,630.27 / $3,890.45 / $7,413.10	Professional		$2,630.27	$3,890.45	$7,413.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $6,309.57	Professional		$4,265.80	$5,370.32	$6,309.57