Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.13 / $1,821.66 / $2,066.19	Professional		$1,161.13	$1,821.66	$2,066.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,330.00 / $2,941.88 / $3,677.35	Professional		$2,330.00	$2,941.88	$3,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.85 / $1,921.80 / $3,691.64	Professional		$1,208.85	$1,921.80	$3,691.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,937.00 / $2,825.83 / $8,689.00	Facility		$1,937.00	$2,825.83	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,277.90 / $2,404.69 / $9,908.28	Professional		$1,277.90	$2,404.69	$9,908.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,330.00 / $2,762.35 / $3,630.94	Facility		$2,330.00	$2,762.35	$3,630.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,824.36 / $2,743.36 / $3,630.94	Professional		$1,824.36	$2,743.36	$3,630.94
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,204.44 / $2,010.40 / $3,727.61	Professional		$1,204.44	$2,010.40	$3,727.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,016.79 / $2,552.90 / $3,003.40	Professional		$2,016.79	$2,552.90	$3,003.40