Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,283.96 / $2,918.41 / $2,918.41	Facility		$2,283.96	$2,918.41	$2,918.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.26 / $1,749.25 / $2,550.27	Professional		$1,213.26	$1,749.25	$2,550.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $3,439.00	Facility		$1,819.89	$1,819.89	$3,439.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.89 / $4,039.50 / $5,049.38	Professional		$1,819.89	$4,039.50	$5,049.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,961.62 / $3,484.26 / $4,083.99	Professional		$2,961.62	$3,484.26	$4,083.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,993.73 / $4,064.27 / $15,534.23	Facility		$1,993.73	$4,064.27	$15,534.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,494.60 / $1,997.05 / $4,271.51	Professional		$1,494.60	$1,997.05	$4,271.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,428.93 / $3,439.00 / $4,424.51	Facility		$3,428.93	$3,439.00	$4,424.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,816.54 / $4,017.22 / $6,571.85	Professional		$2,816.54	$4,017.22	$6,571.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.60 / $1,611.70 / $4,097.35	Professional		$1,494.60	$1,611.70	$4,097.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,063.83 / $3,063.83 / $3,063.83	Facility		$3,063.83	$3,063.83	$3,063.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,420.42 / $3,063.83 / $3,063.83	Professional		$2,420.42	$3,063.83	$3,063.83