Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,691.53	Facility		$2,137.96	$2,137.96	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $3,311.31	Professional		$1,318.26	$1,698.24	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $5,011.87	Professional		$2,398.83	$3,890.45	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $5,495.41	Professional		$1,348.96	$2,089.30	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,715.35 / $8,317.64	Facility		$1,995.26	$3,715.35	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $12,022.64	Professional		$1,905.46	$3,548.13	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,715.35 / $4,570.88	Professional		$3,311.31	$3,715.35	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $4,466.84	Professional		$2,951.21	$3,548.13	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,511.38 / $11,748.98	Facility		$5,128.61	$8,511.38	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $4,570.88	Professional		$1,445.44	$2,398.83	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,801.89	Professional		$2,570.40	$3,019.95	$3,801.89