Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,981.07 / $6,760.83	Facility		$1,905.46	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,754.23	Professional		$1,047.13	$1,230.27	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,467.37	Professional		$2,137.96	$2,818.38	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $3,890.45	Professional		$1,122.02	$1,698.24	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $5,754.40	Facility		$1,479.11	$2,754.23	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $9,120.11	Professional		$1,202.26	$2,290.87	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $3,311.31	Professional		$2,238.72	$2,754.23	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $3,311.31	Professional		$2,344.23	$2,398.83	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,413.10	Facility		$2,951.21	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,311.31	Professional		$1,174.90	$1,698.24	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,818.38	Professional		$1,905.46	$2,398.83	$2,818.38