Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,776.52 / $2,473.61 / $2,473.61	Professional		$1,776.52	$2,473.61	$2,473.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,488.81 / $4,361.01 / $4,522.17	Professional		$3,488.81	$4,361.01	$4,522.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.68 / $2,602.85 / $3,606.85	Professional		$1,528.68	$2,602.85	$3,606.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,914.88 / $3,937.89 / $7,305.00	Facility		$2,914.88	$3,937.89	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,872.66 / $3,776.53 / $6,632.34	Professional		$1,872.66	$3,776.53	$6,632.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,493.00 / $3,720.73 / $4,866.32	Facility		$2,493.00	$3,720.73	$4,866.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,493.00 / $3,601.13 / $4,866.32	Professional		$2,493.00	$3,601.13	$4,866.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,794.63 / $3,590.84 / $5,080.22	Professional		$1,794.63	$3,590.84	$5,080.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,608.26 / $3,301.60 / $3,884.20	Professional		$2,608.26	$3,301.60	$3,884.20