Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $1,871.79 / $2,155.17	Professional		$1,251.00	$1,871.79	$2,155.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,336.46 / $3,075.11 / $3,843.88	Professional		$2,336.46	$3,075.11	$3,843.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,245.48 / $1,969.09 / $4,050.48	Professional		$1,245.48	$1,969.09	$4,050.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,559.96 / $3,190.24 / $11,869.99	Facility		$1,559.96	$3,190.24	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,447.19 / $2,600.26 / $14,907.82	Professional		$1,447.19	$2,600.26	$14,907.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,498.76 / $3,332.79 / $5,383.60	Facility		$2,498.76	$3,332.79	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,911.52 / $2,815.25 / $3,883.12	Professional		$1,911.52	$2,815.25	$3,883.12
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 $1,432.67 / $2,108.98 / $4,174.35	Professional		$1,432.67	$2,108.98	$4,174.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,091.84 / $2,647.90 / $3,115.10	Professional		$2,091.84	$2,647.90	$3,115.10