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 $1,708.00 / $2,825.15 / $2,825.15	Professional		$1,708.00	$2,825.15	$2,825.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,926.66 / $4,541.43 / $5,045.35	Professional		$3,926.66	$4,541.43	$5,045.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,771.33 / $2,975.71 / $5,357.49	Professional		$1,771.33	$2,975.71	$5,357.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,721.49 / $4,491.72 / $7,305.00	Facility		$2,721.49	$4,491.72	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,184.01 / $4,318.18 / $7,665.90	Professional		$2,184.01	$4,318.18	$7,665.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,859.27 / $4,318.18 / $5,540.32	Facility		$2,859.27	$4,318.18	$5,540.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,859.27 / $4,128.80 / $5,540.32	Professional		$2,859.27	$4,128.80	$5,540.32
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 $2,074.30 / $4,132.88 / $5,970.38	Professional		$2,074.30	$4,132.88	$5,970.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,990.39 / $3,785.30 / $4,453.30	Professional		$2,990.39	$3,785.30	$4,453.30