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 $1,968.33 / $3,362.46 / $12,467.00	Professional		$1,968.33	$3,362.46	$12,467.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,696.41 / $5,393.89 / $5,994.15	Professional		$4,696.41	$5,393.89	$5,994.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,081.42 / $3,525.55 / $4,188.54	Professional		$2,081.42	$3,525.55	$4,188.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,271.86 / $5,178.18 / $7,305.00	Facility		$3,271.86	$5,178.18	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,560.92 / $5,090.41 / $9,069.96	Professional		$2,560.92	$5,090.41	$9,069.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,601.37 / $5,090.41 / $6,618.96	Facility		$3,601.37	$5,090.41	$6,618.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,601.37 / $4,882.05 / $6,618.96	Professional		$3,601.37	$4,882.05	$6,618.96
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 $2,454.23 / $4,396.27 / $6,988.08	Professional		$2,454.23	$4,396.27	$6,988.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,535.96 / $4,475.89 / $5,265.80	Professional		$3,535.96	$4,475.89	$5,265.80