Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,226.68 / $3,674.44 / $3,674.44	Facility		$3,226.68	$3,674.44	$3,674.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,837.38 / $2,353.73 / $3,707.67	Professional		$1,837.38	$2,353.73	$3,707.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $4,801.93	Facility		$2,448.80	$2,448.80	$4,801.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,448.80 / $5,085.75 / $6,357.19	Professional		$2,448.80	$5,085.75	$6,357.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,167.54 / $4,567.50 / $5,596.74	Professional		$4,167.54	$4,567.50	$5,596.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,783.88 / $5,675.01 / $20,504.11	Facility		$2,783.88	$5,675.01	$20,504.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,086.92 / $2,731.13 / $5,964.39	Professional		$2,086.92	$2,731.13	$5,964.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,787.89 / $4,801.93 / $5,953.48	Facility		$4,787.89	$4,801.93	$5,953.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,932.78 / $5,609.32 / $9,176.37	Professional		$3,932.78	$5,609.32	$9,176.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,086.92 / $2,316.50 / $5,702.94	Professional		$2,086.92	$2,316.50	$5,702.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,278.08 / $4,278.08 / $4,278.08	Facility		$4,278.08	$4,278.08	$4,278.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,379.68 / $4,278.08 / $4,278.08	Professional		$3,379.68	$4,278.08	$4,278.08