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 $1,514.89 / $1,824.43 / $2,757.43	Professional		$1,514.89	$1,824.43	$2,757.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,762.42 / $3,852.65 / $4,815.81	Professional		$2,762.42	$3,852.65	$4,815.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,613.37 / $2,487.42 / $7,275.99	Professional		$1,613.37	$2,487.42	$7,275.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,881.34 / $3,903.83 / $10,463.00	Facility		$1,881.34	$3,903.83	$10,463.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,801.59 / $3,437.16 / $11,126.36	Professional		$1,801.59	$3,437.16	$11,126.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,726.00 / $3,437.16 / $5,242.93	Facility		$2,726.00	$3,437.16	$5,242.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,495.00 / $3,437.16 / $5,242.93	Professional		$2,495.00	$3,437.16	$5,242.93
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 $1,760.14 / $2,682.11 / $4,995.43	Professional		$1,760.14	$2,682.11	$4,995.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,678.89 / $3,391.00 / $3,989.40	Professional		$2,678.89	$3,391.00	$3,989.40