Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,669.37 / $7,669.37 / $9,240.61	Facility		$7,669.37	$7,669.37	$9,240.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,255.38 / $7,038.36 / $10,591.03	Professional		$5,255.38	$7,038.36	$10,591.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,938.13 / $8,391.94 / $8,391.94	Facility		$5,938.13	$8,391.94	$8,391.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,391.94 / $13,267.50 / $16,584.38	Professional		$8,391.94	$13,267.50	$16,584.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.35 / $1,217.35 / $12,863.26	Professional		$1,217.35	$1,217.35	$12,863.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,562.43 / $10,591.03 / $19,756.15	Facility		$1,562.43	$10,591.03	$19,756.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,737.14 / $5,195.87 / $12,320.82	Professional		$3,737.14	$5,195.87	$12,320.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,573.11 / $1,573.11 / $3,718.26	Facility		$1,573.11	$1,573.11	$3,718.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,562.43 / $1,881.00 / $3,718.26	Professional		$1,562.43	$1,881.00	$3,718.26
United Facility/Professional Professional Modifier Low / Median / High Price $4,224.28 / $4,365.09 / $11,568.90	Professional		$4,224.28	$4,365.09	$11,568.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10,168.01 / $12,870.90 / $12,870.90	Professional		$10,168.01	$12,870.90	$12,870.90