Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,440.17 / $10,440.17 / $12,667.03	Facility		$10,440.17	$10,440.17	$12,667.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,332.99 / $9,604.60 / $14,417.38	Professional		$5,332.99	$9,604.60	$14,417.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,922.50 / $10,694.63 / $10,694.63	Facility		$6,922.50	$10,694.63	$10,694.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.04 / $20,182.50 / $25,228.13	Professional		$1,292.04	$20,182.50	$25,228.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.17 / $1,657.17 / $14,041.67	Professional		$1,657.17	$1,657.17	$14,041.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,237.17 / $11,688.69 / $20,233.09	Facility		$2,237.17	$11,688.69	$20,233.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,550.84 / $5,790.64 / $15,858.64	Professional		$4,550.84	$5,790.64	$15,858.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,237.17 / $2,505.86 / $4,526.78	Facility		$2,237.17	$2,505.86	$4,526.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,062.48 / $2,393.15 / $4,526.78	Professional		$2,062.48	$2,393.15	$4,526.78
United Facility/Professional Professional Modifier Low / Median / High Price $4,922.04 / $5,790.64 / $15,858.64	Professional		$4,922.04	$5,790.64	$15,858.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12,379.01 / $15,669.63 / $15,669.63	Professional		$12,379.01	$15,669.63	$15,669.63