Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $7,079.46	Facility		$2,511.89	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $3,981.07	Professional		$1,412.54	$1,659.59	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $4,570.88	Professional		$2,951.21	$3,715.35	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $5,011.87	Professional		$1,513.56	$2,238.72	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $10,000.00	Facility		$2,187.76	$3,630.78	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $12,882.50	Professional		$1,659.59	$3,162.28	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,715.35 / $4,265.80	Professional		$3,311.31	$3,715.35	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,265.80	Professional		$3,090.30	$3,090.30	$4,265.80
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 $1,548.82 / $2,344.23 / $4,570.88	Professional		$1,548.82	$2,344.23	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $3,548.13	Professional		$2,398.83	$3,019.95	$3,548.13