Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.21 / $1,949.71 / $2,128.44	Professional		$1,230.21	$1,949.71	$2,128.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,489.16 / $3,093.32 / $3,793.24	Professional		$2,489.16	$3,093.32	$3,793.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.42 / $2,021.23 / $4,182.78	Professional		$1,338.42	$2,021.23	$4,182.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,660.12 / $2,950.00 / $4,190.39	Facility		$1,660.12	$2,950.00	$4,190.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,416.59 / $2,655.55 / $10,237.84	Professional		$1,416.59	$2,655.55	$10,237.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $3,132.59 / $4,015.36	Facility		$2,421.00	$3,132.59	$4,015.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,897.68 / $3,070.00 / $4,015.36	Professional		$1,897.68	$3,070.00	$4,015.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.90 / $2,060.50 / $4,192.21	Professional		$1,378.90	$2,060.50	$4,192.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,237.28 / $2,832.00 / $3,331.80	Professional		$2,237.28	$2,832.00	$3,331.80