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 $1,556.44 / $2,655.17 / $9,887.34	Professional		$1,556.44	$2,655.17	$9,887.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,739.68 / $4,223.88 / $4,729.51	Professional		$3,739.68	$4,223.88	$4,729.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.25 / $2,792.20 / $4,863.31	Professional		$1,641.25	$2,792.20	$4,863.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,442.35 / $4,088.96 / $7,305.00	Facility		$2,442.35	$4,088.96	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,010.58 / $3,996.92 / $6,889.89	Professional		$2,010.58	$3,996.92	$6,889.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,670.25 / $3,996.92 / $5,226.79	Facility		$2,670.25	$3,996.92	$5,226.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,670.25 / $3,863.88 / $5,226.79	Professional		$2,670.25	$3,863.88	$5,226.79
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 $1,926.80 / $3,998.75 / $5,454.19	Professional		$1,926.80	$3,998.75	$5,454.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,798.50 / $3,542.40 / $4,167.60	Professional		$2,798.50	$3,542.40	$4,167.60