Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,477.45 / $4,826.54 / $4,826.54	Facility		$4,477.45	$4,826.54	$4,826.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,298.42 / $3,084.95 / $4,826.54	Professional		$2,298.42	$3,084.95	$4,826.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $6,444.30	Facility		$3,728.42	$3,728.42	$6,444.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,728.42 / $6,680.25 / $8,350.31	Professional		$3,728.42	$6,680.25	$8,350.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,517.45 / $5,858.45 / $7,020.45	Professional		$5,517.45	$5,858.45	$7,020.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,762.02 / $7,727.44 / $26,807.65	Facility		$3,762.02	$7,727.44	$26,807.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,792.41 / $3,738.51 / $8,004.34	Professional		$2,792.41	$3,738.51	$8,004.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,444.30 / $6,444.30 / $7,802.99	Facility		$6,444.30	$6,444.30	$7,802.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,834.81 / $7,615.99 / $12,314.90	Professional		$5,834.81	$7,615.99	$12,314.90
United Facility/Professional Professional Modifier Low / Median / High Price $2,702.29 / $3,048.08 / $7,677.97	Professional		$2,702.29	$3,048.08	$7,677.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5,741.28 / $5,741.28 / $5,741.28	Facility		$5,741.28	$5,741.28	$5,741.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,535.60 / $5,741.28 / $5,741.28	Professional		$4,535.60	$5,741.28	$5,741.28