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 $2,225.71 / $3,857.73 / $4,188.71	Professional		$2,225.71	$3,857.73	$4,188.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,684.00 / $5,493.56 / $6,789.86	Professional		$4,684.00	$5,493.56	$6,789.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,284.27 / $3,625.73 / $5,364.12	Professional		$2,284.27	$3,625.73	$5,364.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,689.42 / $5,912.47 / $10,463.00	Facility		$3,689.42	$5,912.47	$10,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,651.88 / $5,107.14 / $20,967.80	Professional		$2,651.88	$5,107.14	$20,967.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,469.79 / $5,578.25 / $7,364.86	Facility		$4,469.79	$5,578.25	$7,364.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,913.69 / $5,434.45 / $7,364.86	Professional		$3,913.69	$5,434.45	$7,364.86
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,473.21 / $3,768.72 / $7,019.24	Professional		$2,473.21	$3,768.72	$7,019.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,785.60 / $4,791.89 / $5,637.60	Professional		$3,785.60	$4,791.89	$5,637.60