Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.41 / $2,451.91 / $2,530.94	Professional		$1,477.41	$2,451.91	$2,530.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,001.00 / $3,726.95 / $4,503.20	Professional		$3,001.00	$3,726.95	$4,503.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,437.79 / $2,247.35 / $5,840.23	Professional		$1,437.79	$2,247.35	$5,840.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,126.08 / $3,743.32 / $7,454.00	Facility		$2,126.08	$3,743.32	$7,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,721.07 / $3,248.01 / $15,441.12	Professional		$1,721.07	$3,248.01	$15,441.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,941.87 / $3,743.32 / $4,876.30	Facility		$2,941.87	$3,743.32	$4,876.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,488.67 / $3,445.38 / $4,876.30	Professional		$2,488.67	$3,445.38	$4,876.30
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 $1,642.84 / $2,503.38 / $4,662.54	Professional		$1,642.84	$2,503.38	$4,662.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,400.02 / $3,038.00 / $3,574.20	Professional		$2,400.02	$3,038.00	$3,574.20