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 $1,888.11 / $3,220.96 / $12,018.20	Professional		$1,888.11	$3,220.96	$12,018.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,554.62 / $4,965.80 / $5,693.27	Professional		$4,554.62	$4,965.80	$5,693.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,991.04 / $2,800.68 / $3,993.61	Professional		$1,991.04	$2,800.68	$3,993.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,371.44 / $4,827.47 / $7,305.00	Facility		$2,371.44	$4,827.47	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,224.35 / $4,663.59 / $6,693.28	Professional		$2,224.35	$4,663.59	$6,693.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,540.00 / $4,702.30 / $6,288.04	Facility		$2,540.00	$4,702.30	$6,288.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,540.00 / $4,702.30 / $5,790.29	Professional		$2,540.00	$4,702.30	$5,790.29
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 $2,103.94 / $4,269.00 / $6,582.67	Professional		$2,103.94	$4,269.00	$6,582.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,405.77 / $4,311.10 / $5,071.89	Professional		$3,405.77	$4,311.10	$5,071.89