Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,370.32 / $7,943.28	Facility		$1,949.84	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,467.37	Professional		$1,148.15	$1,621.81	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,090.30 / $3,467.37	Professional		$2,754.23	$3,090.30	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $5,128.61	Professional		$1,230.27	$1,949.84	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $7,244.36	Facility		$1,949.84	$3,235.94	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $4,265.80	Professional		$1,479.11	$2,630.27	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $4,073.80	Professional		$2,691.53	$3,090.30	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,467.37	Professional		$2,691.53	$2,691.53	$3,467.37
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 $1,380.38 / $2,041.74 / $4,073.80	Professional		$1,380.38	$2,041.74	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,090.30	Professional		$2,041.74	$2,630.27	$3,090.30