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 $1,141.21 / $1,778.57 / $2,123.98	Professional		$1,141.21	$1,778.57	$2,123.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,294.19 / $2,796.97 / $3,496.21	Professional		$2,294.19	$2,796.97	$3,496.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,178.32 / $1,860.16 / $3,827.87	Professional		$1,178.32	$1,860.16	$3,827.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.57 / $3,074.28 / $11,869.99	Facility		$1,778.57	$3,074.28	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.65 / $2,499.92 / $9,269.60	Professional		$1,318.65	$2,499.92	$9,269.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $3,074.28 / $7,260.61	Facility		$2,276.00	$3,074.28	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,945.26 / $2,788.18 / $3,750.62	Professional		$1,945.26	$2,788.18	$3,750.62
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $10,061.00 / $16,446.66	Facility		$7,221.00	$10,061.00	$16,446.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.71 / $1,997.49 / $3,902.36	Professional		$1,258.71	$1,997.49	$3,902.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,942.22 / $2,458.50 / $2,892.40	Professional		$1,942.22	$2,458.50	$2,892.40