Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $7,079.46	Facility		$4,168.69	$5,011.87	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $7,585.78	Professional		$2,951.21	$3,467.37	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $9,332.54	Professional		$5,754.40	$7,413.10	$9,332.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $9,120.11	Professional		$2,951.21	$4,570.88	$9,120.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,025.60 / $9,549.93	Facility		$2,041.74	$6,025.60	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $23,988.33	Professional		$3,235.94	$6,025.60	$23,988.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $8,912.51	Professional		$6,606.93	$7,413.10	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $8,912.51	Professional		$5,623.41	$6,606.93	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,481.54 / $19,498.45	Facility		$7,413.10	$11,481.54	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,677.35 / $9,120.11	Professional		$3,090.30	$4,677.35	$9,120.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,309.57 / $7,413.10	Professional		$5,011.87	$6,309.57	$7,413.10