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 $1,816.72 / $3,102.90 / $11,520.00	Professional		$1,816.72	$3,102.90	$11,520.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,341.92 / $4,931.03 / $5,530.57	Professional		$4,341.92	$4,931.03	$5,530.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,921.89 / $3,033.65 / $6,515.20	Professional		$1,921.89	$3,033.65	$6,515.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,002.81 / $4,663.00 / $7,305.00	Facility		$3,002.81	$4,663.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,363.15 / $4,699.92 / $10,771.26	Professional		$2,363.15	$4,699.92	$10,771.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,324.69 / $4,510.14 / $6,105.58	Facility		$3,324.69	$4,510.14	$6,105.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,324.69 / $4,510.14 / $6,105.58	Professional		$3,324.69	$4,510.14	$6,105.58
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 $2,264.67 / $4,526.71 / $6,492.94	Professional		$2,264.67	$4,526.71	$6,492.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,266.57 / $4,134.89 / $4,864.60	Professional		$3,266.57	$4,134.89	$4,864.60