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 $1,205.35 / $2,054.89 / $7,634.69	Professional		$1,205.35	$2,054.89	$7,634.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,882.67 / $3,271.32 / $3,653.41	Professional		$2,882.67	$3,271.32	$3,653.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.16 / $2,151.80 / $3,691.33	Professional		$1,263.16	$2,151.80	$3,691.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,423.30 / $3,271.32 / $7,305.00	Facility		$2,423.30	$3,271.32	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,553.16 / $3,095.59 / $5,400.54	Professional		$1,553.16	$3,095.59	$5,400.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,074.28 / $3,095.59 / $4,039.36	Facility		$2,074.28	$3,095.59	$4,039.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,074.28 / $2,972.32 / $4,039.36	Professional		$2,074.28	$2,972.32	$4,039.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,488.45 / $3,001.04 / $4,213.33	Professional		$1,488.45	$3,001.04	$4,213.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,152.75 / $2,725.00 / $3,205.90	Professional		$2,152.75	$2,725.00	$3,205.90