Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,297.68 / $3,755.33 / $3,755.33	Facility		$3,297.68	$3,755.33	$3,755.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,877.80 / $2,405.52 / $3,789.25	Professional		$1,877.80	$2,405.52	$3,789.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $4,907.56	Facility		$2,502.67	$2,502.67	$4,907.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,502.67 / $5,197.50 / $6,496.88	Professional		$2,502.67	$5,197.50	$6,496.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,259.28 / $4,668.62 / $5,720.64	Professional		$4,259.28	$4,668.62	$5,720.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,845.12 / $5,799.85 / $20,912.72	Facility		$2,845.12	$5,799.85	$20,912.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,132.84 / $2,791.22 / $6,095.60	Professional		$2,132.84	$2,791.22	$6,095.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,893.21 / $4,907.56 / $6,084.46	Facility		$4,893.21	$4,907.56	$6,084.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,019.32 / $5,732.71 / $9,378.25	Professional		$4,019.32	$5,732.71	$9,378.25
United Facility/Professional Professional Modifier Low / Median / High Price $2,126.53 / $2,367.46 / $5,828.49	Professional		$2,126.53	$2,367.46	$5,828.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,372.18 / $4,372.18 / $4,372.18	Facility		$4,372.18	$4,372.18	$4,372.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,454.03 / $4,372.18 / $4,372.18	Professional		$3,454.03	$4,372.18	$4,372.18