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 $3,607.84 / $6,161.63 / $23,020.30	Professional		$3,607.84	$6,161.63	$23,020.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,248.41 / $8,935.87 / $10,963.84	Professional		$8,248.41	$8,935.87	$10,963.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,507.91 / $4,211.30 / $7,468.17	Professional		$2,507.91	$4,211.30	$7,468.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,347.81 / $7,305.00 / $11,032.81	Facility		$2,347.81	$7,305.00	$11,032.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,757.00 / $8,110.66 / $13,077.84	Professional		$2,757.00	$8,110.66	$13,077.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,828.78 / $8,935.87 / $12,134.94	Facility		$4,828.78	$8,935.87	$12,134.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,995.95 / $8,335.06 / $11,196.27	Professional		$2,995.95	$8,335.06	$11,196.27
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 $2,221.29 / $6,504.35 / $12,861.72	Professional		$2,221.29	$6,504.35	$12,861.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,472.08 / $8,192.50 / $9,638.20	Professional		$6,472.08	$8,192.50	$9,638.20