Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.17 / $1,943.08 / $1,976.61	Professional		$1,131.17	$1,943.08	$1,976.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,425.00 / $2,865.18 / $3,447.52	Professional		$2,425.00	$2,865.18	$3,447.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.01 / $1,822.62 / $4,694.97	Professional		$1,121.01	$1,822.62	$4,694.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,943.08 / $3,002.82 / $12,206.95	Facility		$1,943.08	$3,002.82	$12,206.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,354.77 / $2,586.38 / $9,976.00	Professional		$1,354.77	$2,586.38	$9,976.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,257.21 / $3,009.66 / $5,383.60	Facility		$2,257.21	$3,009.66	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,965.00 / $2,664.47 / $3,851.19	Professional		$1,965.00	$2,664.47	$3,851.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,293.19 / $1,970.58 / $4,009.26	Professional		$1,293.19	$1,970.58	$4,009.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,856.03 / $2,349.40 / $2,764.10	Professional		$1,856.03	$2,349.40	$2,764.10