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 $1,049.34 / $1,787.71 / $6,703.48	Professional		$1,049.34	$1,787.71	$6,703.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,539.09 / $2,849.26 / $3,182.63	Professional		$2,539.09	$2,849.26	$3,182.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.65 / $1,885.19 / $2,360.13	Professional		$1,102.65	$1,885.19	$2,360.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,104.69 / $2,849.26 / $7,305.00	Facility		$2,104.69	$2,849.26	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,347.56 / $2,717.59 / $4,772.62	Professional		$1,347.56	$2,717.59	$4,772.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,794.62 / $2,683.01 / $3,509.18	Facility		$1,794.62	$2,683.01	$3,509.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,794.62 / $2,606.23 / $3,509.18	Professional		$1,794.62	$2,606.23	$3,509.18
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 $1,291.42 / $2,313.32 / $3,655.60	Professional		$1,291.42	$2,313.32	$3,655.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,887.63 / $2,389.40 / $2,811.10	Professional		$1,887.63	$2,389.40	$2,811.10