Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $7,943.28	Facility		$4,265.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $7,943.28	Professional		$2,630.27	$3,801.89	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,079.46 / $8,128.31	Professional		$6,456.54	$7,079.46	$8,128.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $11,748.98	Professional		$2,818.38	$4,365.16	$11,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,606.93 / $8,128.31	Facility		$2,951.21	$6,606.93	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $10,232.93	Professional		$3,235.94	$5,888.44	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $8,128.31	Professional		$5,011.87	$7,244.36	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,128.31	Professional		$6,025.60	$6,025.60	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,677.35 / $9,332.54	Professional		$3,162.28	$4,677.35	$9,332.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $7,079.46	Professional		$4,786.30	$6,025.60	$7,079.46