Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,242.30 / $1,535.27 / $2,148.89	Professional		$1,242.30	$1,535.27	$2,148.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,576.00 / $3,064.20 / $3,830.25	Professional		$2,576.00	$3,064.20	$3,830.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,268.69 / $2,027.73 / $4,907.63	Professional		$1,268.69	$2,027.73	$4,907.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.71 / $3,355.96 / $22,077.44	Facility		$1,862.71	$3,355.96	$22,077.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,426.10 / $2,722.55 / $10,099.68	Professional		$1,426.10	$2,722.55	$10,099.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,576.00 / $3,632.34 / $19,803.09	Facility		$2,576.00	$3,632.34	$19,803.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,065.39 / $3,038.56 / $4,013.55	Professional		$2,065.39	$3,038.56	$4,013.55
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 $1,361.27 / $2,333.61 / $3,889.35	Professional		$1,361.27	$2,333.61	$3,889.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,116.65 / $2,679.30 / $3,152.10	Professional		$2,116.65	$2,679.30	$3,152.10