Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $6,760.83	Facility		$1,621.81	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $2,884.03	Professional		$1,047.13	$1,288.25	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,235.94	Professional		$2,041.74	$2,630.27	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $4,073.80	Professional		$1,047.13	$1,584.89	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $15,848.93	Facility		$1,513.56	$2,884.03	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $8,511.38	Professional		$1,148.15	$2,089.30	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,090.30	Professional		$2,041.74	$2,570.40	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $3,090.30	Professional		$2,137.96	$2,290.87	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,748.98 / $23,442.29	Facility		$7,413.10	$11,748.98	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $3,235.94	Professional		$1,096.48	$1,621.81	$3,235.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,630.27	Professional		$1,778.28	$2,238.72	$2,630.27