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 $2,162.54 / $3,793.94 / $3,918.77	Professional		$2,162.54	$3,793.94	$3,918.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,870.43 / $5,518.89 / $6,892.11	Professional		$3,870.43	$5,518.89	$6,892.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,320.67 / $3,218.79 / $7,481.27	Professional		$2,320.67	$3,218.79	$7,481.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,210.50 / $5,326.21 / $8,689.00	Facility		$2,210.50	$5,326.21	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,275.28 / $4,643.10 / $18,356.48	Professional		$2,275.28	$4,643.10	$18,356.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,952.00 / $5,518.89 / $7,511.57	Facility		$2,952.00	$5,518.89	$7,511.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,934.59 / $5,174.93 / $6,762.01	Professional		$2,934.59	$5,174.93	$6,762.01
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 $2,158.48 / $3,832.05 / $7,137.19	Professional		$2,158.48	$3,832.05	$7,137.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,844.46 / $4,866.39 / $5,725.20	Professional		$3,844.46	$4,866.39	$5,725.20