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 $1,888.01 / $3,223.46 / $11,971.30	Professional		$1,888.01	$3,223.46	$11,971.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,521.89 / $4,763.10 / $5,715.54	Professional		$4,521.89	$4,763.10	$5,715.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.16 / $3,147.60 / $5,310.53	Professional		$1,995.16	$3,147.60	$5,310.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,752.99 / $4,930.76 / $7,305.00	Facility		$2,752.99	$4,930.76	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,399.96 / $4,763.10 / $8,670.09	Professional		$2,399.96	$4,763.10	$8,670.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,255.52 / $4,687.74 / $6,342.26	Facility		$3,255.52	$4,687.74	$6,342.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,714.00 / $4,687.74 / $5,799.39	Professional		$2,714.00	$4,687.74	$5,799.39
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 $2,346.02 / $4,936.85 / $6,640.88	Professional		$2,346.02	$4,936.85	$6,640.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,395.26 / $4,297.80 / $5,056.20	Professional		$3,395.26	$4,297.80	$5,056.20