Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,068.04 / $5,068.04 / $6,103.04	Facility		$5,068.04	$5,068.04	$6,103.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,949.60 / $4,450.85 / $6,998.72	Professional		$2,949.60	$4,450.85	$6,998.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,170.18 / $5,587.01 / $5,587.01	Facility		$4,170.18	$5,587.01	$5,587.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.31 / $9,435.00 / $11,793.75	Professional		$665.31	$9,435.00	$11,793.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $804.45 / $804.45 / $7,279.47	Professional		$804.45	$804.45	$7,279.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $813.80 / $5,503.72 / $11,088.25	Facility		$813.80	$5,503.72	$11,088.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,341.04 / $2,961.16 / $7,803.47	Professional		$2,341.04	$2,961.16	$7,803.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $990.44 / $990.44 / $2,341.04	Facility		$990.44	$990.44	$2,341.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $983.10 / $1,183.83 / $2,341.04	Professional		$983.10	$1,183.83	$2,341.04
United Facility/Professional Professional Modifier Low / Median / High Price $2,517.00 / $2,789.96 / $7,640.76	Professional		$2,517.00	$2,789.96	$7,640.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,401.84 / $8,103.60 / $8,103.60	Professional		$6,401.84	$8,103.60	$8,103.60