Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $7,943.28	Facility		$2,089.30	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,715.35	Professional		$1,230.27	$1,737.80	$3,715.35
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 $1,318.26 / $2,137.96 / $4,570.88	Professional		$1,318.26	$2,137.96	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $7,244.36	Facility		$2,187.76	$3,548.13	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $5,370.32	Professional		$1,698.24	$3,090.30	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $5,495.41	Professional		$3,090.30	$3,715.35	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,801.89	Professional		$2,951.21	$2,951.21	$3,801.89
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 $1,548.82 / $2,344.23 / $4,466.84	Professional		$1,548.82	$2,344.23	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $3,311.31	Professional		$2,238.72	$2,818.38	$3,311.31