Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.61 / $1,951.89 / $2,261.21	Professional		$1,142.61	$1,951.89	$2,261.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,440.41 / $3,206.78 / $4,008.47	Professional		$2,440.41	$3,206.78	$4,008.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.33 / $2,009.94 / $4,390.59	Professional		$1,307.33	$2,009.94	$4,390.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,597.11 / $3,036.50 / $4,663.00	Facility		$1,597.11	$3,036.50	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,407.34 / $2,629.33 / $10,561.36	Professional		$1,407.34	$2,629.33	$10,561.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,351.40 / $2,621.16 / $3,501.20	Facility		$1,351.40	$2,621.16	$3,501.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,945.25 / $3,036.50 / $4,110.45	Professional		$1,945.25	$3,036.50	$4,110.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,399.50 / $2,213.23 / $3,971.92	Professional		$1,399.50	$2,213.23	$3,971.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,195.73 / $2,779.40 / $3,269.90	Professional		$2,195.73	$2,779.40	$3,269.90