Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,530.00 / $3,531.26 / $3,531.26	Facility		$3,530.00	$3,531.26	$3,531.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.58 / $2,224.32 / $3,522.15	Professional		$1,621.58	$2,224.32	$3,522.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $4,964.04	Facility		$2,970.85	$2,970.85	$4,964.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,970.85 / $4,887.38 / $6,109.22	Professional		$2,970.85	$4,887.38	$6,109.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,431.22 / $4,118.85 / $4,512.76	Professional		$3,431.22	$4,118.85	$4,512.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,877.86 / $5,798.67 / $19,143.40	Facility		$2,877.86	$5,798.67	$19,143.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,085.30 / $2,644.03 / $6,134.57	Professional		$2,085.30	$2,644.03	$6,134.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,949.51 / $4,964.04 / $5,949.44	Facility		$4,949.51	$4,964.04	$5,949.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,065.59 / $5,626.13 / $9,486.16	Professional		$4,065.59	$5,626.13	$9,486.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,157.39 / $2,251.37 / $5,309.82	Professional		$2,157.39	$2,251.37	$5,309.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,422.50 / $4,422.50 / $4,422.50	Facility		$4,422.50	$4,422.50	$4,422.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,493.78 / $4,422.50 / $4,422.50	Professional		$3,493.78	$4,422.50	$4,422.50