Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,388.44 / $3,715.35	Facility		$3,235.94	$3,388.44	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $3,715.35	Professional		$1,862.09	$2,238.72	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,897.79	Facility		$2,454.71	$2,454.71	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $6,309.57	Professional		$2,454.71	$5,128.61	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,677.35 / $5,623.41	Professional		$4,168.69	$4,677.35	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,623.41 / $20,417.38	Facility		$2,951.21	$5,623.41	$20,417.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $7,244.36	Professional		$2,089.30	$2,951.21	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,011.87 / $5,888.44	Professional		$4,786.30	$5,011.87	$5,888.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $7,244.36 / $7,244.36	Professional		$4,466.84	$7,244.36	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $6,456.54	Facility		$1,949.84	$3,235.94	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $3,981.07	Professional		$1,995.26	$2,238.72	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $4,265.80	Professional		$3,388.44	$4,265.80	$4,265.80