Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,341.28 / $2,543.11 / $2,543.11	Facility		$2,341.28	$2,543.11	$2,543.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.17 / $1,492.48 / $2,543.11	Professional		$1,035.17	$1,492.48	$2,543.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $3,644.62	Facility		$1,552.76	$1,552.76	$3,644.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,839.47 / $3,549.34 / $4,399.68	Professional		$2,839.47	$3,549.34	$4,399.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,816.30 / $3,153.63 / $3,478.02	Professional		$2,816.30	$3,153.63	$3,478.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,112.92 / $3,975.95 / $13,558.52	Facility		$2,112.92	$3,975.95	$13,558.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,474.64 / $1,859.58 / $4,417.95	Professional		$1,474.64	$1,859.58	$4,417.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,633.94 / $3,644.62 / $4,368.10	Facility		$3,633.94	$3,644.62	$4,368.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,852.54 / $3,924.95 / $6,964.78	Professional		$2,852.54	$3,924.95	$6,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,399.20 / $1,652.96 / $3,898.39	Professional		$1,399.20	$1,652.96	$3,898.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,247.02 / $3,247.02 / $3,247.02	Facility		$3,247.02	$3,247.02	$3,247.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,565.15 / $3,247.02 / $3,247.02	Professional		$2,565.15	$3,247.02	$3,247.02