Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $7,079.46	Facility		$2,884.03	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $4,466.84	Professional		$1,659.59	$1,905.46	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $5,128.61	Professional		$3,311.31	$4,168.69	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $6,456.54	Professional		$1,698.24	$2,511.89	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $10,000.00	Facility		$2,630.27	$4,365.16	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $18,197.01	Professional		$1,905.46	$3,715.35	$18,197.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $4,897.79	Professional		$3,890.45	$4,466.84	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $4,897.79	Professional		$3,630.78	$3,981.07	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,964.78 / $15,848.93	Facility		$7,413.10	$10,964.78	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $5,128.61	Professional		$1,737.80	$2,754.23	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $4,073.80	Professional		$2,754.23	$3,467.37	$4,073.80