Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $3,162.28	Facility		$2,818.38	$2,951.21	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $3,235.94	Professional		$1,621.81	$1,949.84	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,265.80	Facility		$2,454.71	$2,454.71	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $5,495.41	Professional		$2,454.71	$4,365.16	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $4,365.16	Professional		$3,630.78	$3,801.89	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $17,782.79	Facility		$2,570.40	$4,897.79	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $6,309.57	Professional		$1,819.70	$2,570.40	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,365.16 / $5,128.61	Professional		$4,168.69	$4,365.16	$5,128.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,309.57 / $6,309.57	Professional		$3,890.45	$6,309.57	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $5,495.41	Facility		$1,698.24	$2,818.38	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $3,467.37	Professional		$1,737.80	$1,949.84	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $3,715.35	Professional		$2,951.21	$3,715.35	$3,715.35