Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $7,943.28	Facility		$2,041.74	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,630.78	Professional		$1,202.26	$1,737.80	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,311.31 / $3,715.35	Professional		$2,951.21	$3,311.31	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $7,762.47	Professional		$1,288.25	$2,290.87	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $7,244.36	Facility		$2,137.96	$3,311.31	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $4,786.30	Professional		$1,548.82	$2,754.23	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $4,897.79	Professional		$3,019.95	$3,311.31	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,715.35	Professional		$2,754.23	$2,754.23	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $4,265.80	Professional		$1,445.44	$2,187.76	$4,265.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,235.94	Professional		$2,187.76	$2,754.23	$3,235.94