Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.49 / $2,709.06 / $2,709.06	Facility		$2,021.49	$2,709.06	$2,709.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.67 / $1,655.14 / $2,775.29	Professional		$1,230.67	$1,655.14	$2,775.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $3,434.81	Facility		$1,721.98	$1,721.98	$3,434.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,721.98 / $3,749.63 / $4,687.03	Professional		$1,721.98	$3,749.63	$4,687.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,028.50 / $3,243.90 / $3,894.00	Professional		$3,028.50	$3,243.90	$3,894.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,991.31 / $4,059.32 / $14,785.52	Facility		$1,991.31	$4,059.32	$14,785.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,492.78 / $1,920.52 / $4,266.32	Professional		$1,492.78	$1,920.52	$4,266.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,424.76 / $3,434.81 / $4,186.46	Facility		$3,424.76	$3,434.81	$4,186.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,813.14 / $4,041.14 / $6,563.87	Professional		$2,813.14	$4,041.14	$6,563.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.26 / $4,409.26 / $7,165.04	Facility		$4,409.26	$4,409.26	$7,165.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,488.36 / $1,773.45 / $4,092.37	Professional		$1,488.36	$1,773.45	$4,092.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,060.10 / $3,060.10 / $3,060.10	Facility		$3,060.10	$3,060.10	$3,060.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,417.48 / $3,060.10 / $3,060.10	Professional		$2,417.48	$3,060.10	$3,060.10