Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,520.73 / $2,843.48 / $2,843.48	Facility		$2,520.73	$2,843.48	$2,843.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.45 / $1,700.50 / $2,479.19	Professional		$1,179.45	$1,700.50	$2,479.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $3,442.37	Facility		$1,769.18	$1,769.18	$3,442.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,769.18 / $3,935.63 / $4,919.53	Professional		$1,769.18	$3,935.63	$4,919.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,885.59 / $3,394.81 / $3,646.20	Professional		$2,885.59	$3,394.81	$3,646.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.69 / $4,068.26 / $14,790.81	Facility		$1,995.69	$4,068.26	$14,790.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,496.07 / $1,973.15 / $4,275.72	Professional		$1,496.07	$1,973.15	$4,275.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,432.29 / $3,442.37 / $4,301.20	Facility		$3,432.29	$3,442.37	$4,301.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,953.37 / $4,021.16 / $6,578.32	Professional		$2,953.37	$4,021.16	$6,578.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,496.07 / $1,613.28 / $3,682.15	Professional		$1,496.07	$1,613.28	$3,682.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,066.84 / $3,066.84 / $3,066.84	Facility		$3,066.84	$3,066.84	$3,066.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,422.80 / $3,066.84 / $3,066.84	Professional		$2,422.80	$3,066.84	$3,066.84