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 $1,043.55 / $1,787.43 / $6,494.12	Professional		$1,043.55	$1,787.43	$6,494.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,480.65 / $3,079.16 / $3,192.24	Professional		$2,480.65	$3,079.16	$3,192.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.22 / $1,879.09 / $3,618.08	Professional		$1,118.22	$1,879.09	$3,618.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,249.89 / $3,006.36 / $7,305.00	Facility		$2,249.89	$3,006.36	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,424.80 / $2,700.79 / $4,833.22	Professional		$1,424.80	$2,700.79	$4,833.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,887.12 / $2,700.79 / $3,503.81	Facility		$1,887.12	$2,700.79	$3,503.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,887.12 / $2,606.96 / $3,503.81	Professional		$1,887.12	$2,606.96	$3,503.81
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 $1,364.68 / $2,605.56 / $3,702.02	Professional		$1,364.68	$2,605.56	$3,702.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,888.18 / $2,390.10 / $2,811.90	Professional		$1,888.18	$2,390.10	$2,811.90