Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $7,943.28	Facility		$2,570.40	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,570.88	Professional		$1,513.56	$2,137.96	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,073.80 / $4,570.88	Professional		$3,630.78	$4,073.80	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $5,623.41	Professional		$1,621.81	$2,691.53	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $7,244.36	Facility		$2,570.40	$4,168.69	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $6,456.54	Professional		$1,995.26	$3,630.78	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $6,606.93	Professional		$3,801.89	$4,466.84	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,570.88	Professional		$3,548.13	$3,548.13	$4,570.88
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 $1,905.46 / $2,884.03 / $5,495.41	Professional		$1,905.46	$2,884.03	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $4,073.80	Professional		$2,754.23	$3,467.37	$4,073.80