Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,639.51 / $6,639.51 / $8,055.69	Facility		$6,639.51	$6,639.51	$8,055.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,391.63 / $6,108.10 / $9,168.84	Professional		$3,391.63	$6,108.10	$9,168.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,704.40 / $3,704.40 / $5,351.58	Facility		$3,704.40	$3,704.40	$5,351.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,704.40 / $9,328.78 / $16,045.31	Professional		$3,704.40	$9,328.78	$16,045.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.89 / $1,053.89 / $9,442.34	Professional		$1,053.89	$1,053.89	$9,442.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,422.75 / $7,433.65 / $12,867.35	Facility		$1,422.75	$7,433.65	$12,867.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,894.20 / $3,682.60 / $10,085.42	Professional		$2,894.20	$3,682.60	$10,085.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,422.75 / $1,593.63 / $2,878.82	Facility		$1,422.75	$1,593.63	$2,878.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,311.64 / $1,521.95 / $2,878.82	Professional		$1,311.64	$1,521.95	$2,878.82
United Facility/Professional Professional Modifier Low / Median / High Price $3,130.20 / $3,682.60 / $10,085.42	Professional		$3,130.20	$3,682.60	$10,085.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,872.48 / $9,965.16 / $9,965.16	Professional		$7,872.48	$9,965.16	$9,965.16