Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,882.80 / $5,272.94 / $5,272.94	Facility		$3,882.80	$5,272.94	$5,272.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,282.54 / $3,205.32 / $4,797.89	Professional		$2,282.54	$3,205.32	$4,797.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $5,924.70	Facility		$4,072.36	$4,072.36	$5,924.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,072.36 / $7,298.25 / $9,122.81	Professional		$4,072.36	$7,298.25	$9,122.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,223.80 / $6,297.94 / $9,097.81	Professional		$5,223.80	$6,297.94	$9,097.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,434.80 / $7,098.95 / $28,628.31	Facility		$3,434.80	$7,098.95	$28,628.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,662.49 / $3,549.98 / $7,358.96	Professional		$2,662.49	$3,549.98	$7,358.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,907.36 / $5,924.70 / $8,107.45	Facility		$5,907.36	$5,924.70	$8,107.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,852.34 / $6,920.86 / $11,321.96	Professional		$4,852.34	$6,920.86	$11,321.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,574.89 / $2,858.14 / $6,337.32	Professional		$2,574.89	$2,858.14	$6,337.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5,278.37 / $5,278.37 / $5,278.37	Facility		$5,278.37	$5,278.37	$5,278.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,169.91 / $5,278.37 / $5,278.37	Professional		$4,169.91	$5,278.37	$5,278.37