Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.60 / $2,476.02 / $2,476.02	Facility		$1,773.60	$2,476.02	$2,476.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.90 / $1,464.14 / $2,215.29	Professional		$1,053.90	$1,464.14	$2,215.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $2,975.89	Facility		$1,523.27	$1,523.27	$2,975.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,523.27 / $3,427.13 / $4,283.91	Professional		$1,523.27	$3,427.13	$4,283.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,529.92 / $2,971.81 / $3,641.48	Professional		$2,529.92	$2,971.81	$3,641.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,725.24 / $3,516.96 / $12,771.35	Facility		$1,725.24	$3,516.96	$12,771.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,293.33 / $1,698.90 / $3,696.30	Professional		$1,293.33	$1,698.90	$3,696.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,967.17 / $2,975.89 / $3,703.37	Facility		$2,967.17	$2,975.89	$3,703.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,437.28 / $3,476.24 / $5,686.88	Professional		$2,437.28	$3,476.24	$5,686.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.51 / $1,405.58 / $3,545.58	Professional		$1,289.51	$1,405.58	$3,545.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,651.24 / $2,651.24 / $2,651.24	Facility		$2,651.24	$2,651.24	$2,651.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,094.48 / $2,651.24 / $2,651.24	Professional		$2,094.48	$2,651.24	$2,651.24