Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,025.60 / $7,943.28	Facility		$2,511.89	$6,025.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $3,981.07	Professional		$1,380.38	$1,698.24	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $4,570.88	Professional		$2,884.03	$3,630.78	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $5,128.61	Professional		$1,445.44	$2,238.72	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $12,882.50	Facility		$1,905.46	$3,630.78	$12,882.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,090.30 / $11,748.98	Professional		$1,621.81	$3,090.30	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,630.78 / $4,265.80	Professional		$3,235.94	$3,630.78	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,265.80	Professional		$3,019.95	$3,019.95	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $16,218.10 / $34,673.69	Facility		$10,471.29	$16,218.10	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $4,466.84	Professional		$1,548.82	$2,290.87	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,630.78	Professional		$2,454.71	$3,090.30	$3,630.78