Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $4,073.80	Facility		$2,630.27	$3,467.37	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,467.37	Professional		$1,621.81	$2,344.23	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,011.87	Facility		$3,162.28	$3,162.28	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,623.41 / $7,079.46	Professional		$3,162.28	$5,623.41	$7,079.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,897.79 / $5,248.07	Professional		$3,890.45	$4,897.79	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,495.41 / $19,054.61	Facility		$3,019.95	$5,495.41	$19,054.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $7,413.10	Professional		$2,089.30	$2,818.38	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,128.61 / $5,754.40	Professional		$4,897.79	$5,128.61	$5,754.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $7,413.10 / $7,413.10	Professional		$4,168.69	$7,413.10	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $5,888.44	Facility		$1,819.70	$2,818.38	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $4,073.80	Professional		$2,041.74	$2,238.72	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $4,365.16	Professional		$3,467.37	$4,365.16	$4,365.16