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 $1,320.11 / $1,519.64 / $2,285.12	Professional		$1,320.11	$1,519.64	$2,285.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.00 / $3,242.61 / $4,053.27	Professional		$2,698.00	$3,242.61	$4,053.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,370.30 / $2,153.33 / $5,067.39	Professional		$1,370.30	$2,153.33	$5,067.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,257.78 / $3,282.57 / $8,689.00	Facility		$2,257.78	$3,282.57	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,524.18 / $2,909.80 / $13,557.05	Professional		$1,524.18	$2,909.80	$13,557.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,656.60 / $3,252.84 / $4,331.08	Facility		$2,656.60	$3,252.84	$4,331.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,202.63 / $3,227.04 / $4,331.08	Professional		$2,202.63	$3,227.04	$4,331.08
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 $1,454.90 / $2,216.98 / $4,510.60	Professional		$1,454.90	$2,216.98	$4,510.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,247.94 / $2,845.50 / $3,347.70	Professional		$2,247.94	$2,845.50	$3,347.70