Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,193.83 / $1,860.98 / $2,220.62	Professional		$1,193.83	$1,860.98	$2,220.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.58 / $2,923.96 / $3,654.95	Professional		$2,398.58	$2,923.96	$3,654.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.09 / $1,932.32 / $3,965.04	Professional		$1,222.09	$1,932.32	$3,965.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,672.51 / $3,214.46 / $11,869.99	Facility		$1,672.51	$3,214.46	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.47 / $2,616.53 / $9,692.08	Professional		$1,380.47	$2,616.53	$9,692.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,282.00 / $3,214.46 / $5,874.92	Facility		$2,282.00	$3,214.46	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,908.89 / $2,914.83 / $3,928.66	Professional		$1,908.89	$2,914.83	$3,928.66
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,317.72 / $2,007.95 / $3,764.91	Professional		$1,317.72	$2,007.95	$3,764.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,030.46 / $2,570.19 / $3,023.80	Professional		$2,030.46	$2,570.19	$3,023.80