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 $1,234.31 / $2,086.58 / $2,166.40	Professional		$1,234.31	$2,086.58	$2,166.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,471.00 / $3,075.89 / $3,844.86	Professional		$2,471.00	$3,075.89	$3,844.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.40 / $2,040.34 / $4,176.27	Professional		$1,279.40	$2,040.34	$4,176.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,166.40 / $3,128.86 / $8,689.00	Facility		$2,166.40	$3,128.86	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,441.20 / $2,733.07 / $10,168.40	Professional		$1,441.20	$2,733.07	$10,168.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,471.00 / $3,058.20 / $4,101.47	Facility		$2,471.00	$3,058.20	$4,101.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,085.69 / $3,058.20 / $4,101.47	Professional		$2,085.69	$3,058.20	$4,101.47
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 $1,374.49 / $2,096.29 / $3,904.34	Professional		$1,374.49	$2,096.29	$3,904.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,130.31 / $2,696.60 / $3,172.50	Professional		$2,130.31	$2,696.60	$3,172.50