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 $1,341.20 / $2,284.17 / $8,546.12	Professional		$1,341.20	$2,284.17	$8,546.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,237.16 / $3,761.89 / $4,057.80	Professional		$3,237.16	$3,761.89	$4,057.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.55 / $2,544.11 / $4,421.76	Professional		$1,414.55	$2,544.11	$4,421.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,288.16 / $3,577.42 / $7,305.00	Facility		$2,288.16	$3,577.42	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,744.46 / $3,470.71 / $6,176.41	Professional		$1,744.46	$3,470.71	$6,176.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,323.08 / $3,470.71 / $4,517.79	Facility		$2,323.08	$3,470.71	$4,517.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,323.08 / $3,323.84 / $4,517.79	Professional		$2,323.08	$3,323.84	$4,517.79
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 $1,671.78 / $3,440.03 / $4,732.87	Professional		$1,671.78	$3,440.03	$4,732.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,407.37 / $3,047.30 / $3,585.10	Professional		$2,407.37	$3,047.30	$3,585.10