Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $7,079.46	Facility		$4,168.69	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $6,165.95	Professional		$2,344.23	$2,884.03	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,165.95 / $7,762.47	Professional		$4,677.35	$6,165.95	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,801.89 / $7,079.46	Professional		$2,398.83	$3,801.89	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,754.40 / $11,481.54	Facility		$3,019.95	$5,754.40	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $19,952.62	Professional		$2,754.23	$5,011.87	$19,952.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $7,413.10	Professional		$5,248.07	$6,165.95	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,677.35 / $7,413.10	Professional		$4,365.16	$4,677.35	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,748.98 / $19,498.45	Facility		$8,511.38	$11,748.98	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $7,413.10	Professional		$2,630.27	$3,801.89	$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