Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $6,165.95	Facility		$4,897.79	$6,165.95	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,128.61 / $6,165.95	Professional		$4,897.79	$5,128.61	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $4,073.80	Professional		$2,570.40	$3,162.28	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $8,912.51 / $10,471.29	Professional		$151.36	$8,912.51	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $8,317.64	Facility		$2,089.30	$3,235.94	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,128.61 / $7,079.46	Professional		$3,630.78	$5,128.61	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $8,128.31	Professional		$2,818.38	$4,073.80	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $8,128.31	Professional		$3,548.13	$3,548.13	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,165.95	Professional		$5,128.61	$5,128.61	$6,165.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,585.78 / $7,585.78	Professional		$6,025.60	$7,585.78	$7,585.78