Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $7,943.28	Facility		$2,818.38	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $5,011.87	Professional		$1,659.59	$2,344.23	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,466.84 / $5,011.87	Professional		$3,981.07	$4,466.84	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,951.21 / $6,025.60	Professional		$1,778.28	$2,951.21	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,466.84 / $7,244.36	Facility		$2,691.53	$4,466.84	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,801.89 / $6,606.93	Professional		$2,187.76	$3,801.89	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,570.88 / $6,760.83	Professional		$4,168.69	$4,570.88	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,011.87	Professional		$3,801.89	$3,801.89	$5,011.87
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 $1,995.26 / $3,162.28 / $6,025.60	Professional		$1,995.26	$3,162.28	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $4,466.84	Professional		$3,019.95	$3,801.89	$4,466.84