Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,946.69 / $3,415.39 / $3,415.39	Facility		$2,946.69	$3,415.39	$3,415.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.97 / $1,991.05 / $2,902.80	Professional		$1,380.97	$1,991.05	$2,902.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $4,024.27	Facility		$2,637.76	$2,637.76	$4,024.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,637.76 / $4,727.25 / $5,909.06	Professional		$2,637.76	$4,727.25	$5,909.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,465.97 / $4,077.61 / $4,526.47	Professional		$3,465.97	$4,077.61	$4,526.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,333.04 / $4,755.96 / $17,548.22	Facility		$2,333.04	$4,755.96	$17,548.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,748.97 / $2,310.29 / $4,998.47	Professional		$1,748.97	$2,310.29	$4,998.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,012.51 / $4,024.27 / $5,036.10	Facility		$4,012.51	$4,024.27	$5,036.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,452.43 / $4,755.96 / $7,690.32	Professional		$3,452.43	$4,755.96	$7,690.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,748.97 / $1,825.15 / $4,485.37	Professional		$1,748.97	$1,825.15	$4,485.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,585.26 / $3,585.26 / $3,585.26	Facility		$3,585.26	$3,585.26	$3,585.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,832.36 / $3,585.26 / $3,585.26	Professional		$2,832.36	$3,585.26	$3,585.26