Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,012.00 / $6,298.62 / $10,255.42	Facility		$5,012.00	$6,298.62	$10,255.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.15 / $2,755.51 / $2,817.07	Professional		$1,563.15	$2,755.51	$2,817.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,223.00 / $3,930.01 / $4,840.43	Professional		$3,223.00	$3,930.01	$4,840.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,706.05 / $2,673.70 / $3,415.29	Professional		$1,706.05	$2,673.70	$3,415.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,878.20 / $3,930.01 / $8,604.00	Facility		$1,878.20	$3,930.01	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,835.17 / $3,471.13 / $18,574.00	Professional		$1,835.17	$3,471.13	$18,574.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,162.43 / $4,087.31 / $5,105.75	Facility		$3,162.43	$4,087.31	$5,105.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,615.42 / $3,903.68 / $5,105.75	Professional		$2,615.42	$3,903.68	$5,105.75
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 $1,767.73 / $2,517.52 / $4,846.43	Professional		$1,767.73	$2,517.52	$4,846.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,847.24 / $3,604.10 / $4,240.10	Professional		$2,847.24	$3,604.10	$4,240.10