Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,781.40 / $4,269.50 / $4,269.50	Facility		$2,781.40	$4,269.50	$4,269.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,723.54 / $2,459.21 / $3,702.22	Professional		$1,723.54	$2,459.21	$3,702.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $4,241.89	Facility		$3,297.39	$3,297.39	$4,241.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,297.39 / $5,909.25 / $7,386.56	Professional		$3,297.39	$5,909.25	$7,386.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,740.10 / $5,097.31 / $6,872.16	Professional		$3,740.10	$5,097.31	$6,872.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,459.21 / $5,013.14 / $19,929.31	Facility		$2,459.21	$5,013.14	$19,929.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,906.70 / $2,542.98 / $5,268.81	Professional		$1,906.70	$2,542.98	$5,268.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,229.50 / $4,241.89 / $5,807.70	Facility		$4,229.50	$4,241.89	$5,807.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,474.14 / $4,955.12 / $8,106.21	Professional		$3,474.14	$4,955.12	$8,106.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,906.70 / $2,204.25 / $5,053.97	Professional		$1,906.70	$2,204.25	$5,053.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,779.14 / $3,779.14 / $3,779.14	Facility		$3,779.14	$3,779.14	$3,779.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,985.52 / $3,779.14 / $3,779.14	Professional		$2,985.52	$3,779.14	$3,779.14