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 $1,738.90 / $2,968.28 / $11,034.90	Professional		$1,738.90	$2,968.28	$11,034.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,167.41 / $4,719.84 / $5,289.17	Professional		$4,167.41	$4,719.84	$5,289.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,836.86 / $3,118.94 / $4,010.06	Professional		$1,836.86	$3,118.94	$4,010.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,968.28 / $4,688.53 / $7,305.00	Facility		$2,968.28	$4,688.53	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,254.00 / $4,470.30 / $7,982.90	Professional		$2,254.00	$4,470.30	$7,982.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,997.91 / $4,441.01 / $5,808.53	Facility		$2,997.91	$4,441.01	$5,808.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,997.91 / $4,317.28 / $5,808.53	Professional		$2,997.91	$4,317.28	$5,808.53
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 $2,160.08 / $3,869.36 / $6,114.53	Professional		$2,160.08	$3,869.36	$6,114.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,126.90 / $3,958.10 / $4,656.60	Professional		$3,126.90	$3,958.10	$4,656.60