Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.70 / $2,431.79 / $2,606.09	Professional		$1,431.70	$2,431.79	$2,606.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,875.95 / $3,685.14 / $4,606.43	Professional		$2,875.95	$3,685.14	$4,606.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,504.11 / $2,325.98 / $6,504.59	Professional		$1,504.11	$2,325.98	$6,504.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,373.69 / $3,749.94 / $7,896.02	Facility		$2,373.69	$3,749.94	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,705.57 / $3,309.18 / $12,159.92	Professional		$1,705.57	$3,309.18	$12,159.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,368.73 / $3,189.73 / $4,291.07	Facility		$2,368.73	$3,189.73	$4,291.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,463.98 / $3,624.44 / $4,801.47	Professional		$2,463.98	$3,624.44	$4,801.47
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,592.91 / $2,480.83 / $4,518.85	Professional		$1,592.91	$2,480.83	$4,518.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,524.76 / $3,195.90 / $3,759.90	Professional		$2,524.76	$3,195.90	$3,759.90