Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,461.80 / $3,075.58 / $3,075.58	Facility		$2,461.80	$3,075.58	$3,075.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,409.56 / $2,032.26 / $2,962.88	Professional		$1,409.56	$2,032.26	$2,962.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $3,819.90	Facility		$2,375.33	$2,375.33	$3,819.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,375.33 / $4,257.00 / $5,321.25	Professional		$2,375.33	$4,257.00	$5,321.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,931.81 / $3,456.74 / $3,671.91	Professional		$2,931.81	$3,456.74	$3,671.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,214.56 / $4,514.43 / $16,837.56	Facility		$2,214.56	$4,514.43	$16,837.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,688.09 / $2,250.78 / $4,744.64	Professional		$1,688.09	$2,250.78	$4,744.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,808.73 / $3,819.90 / $5,140.33	Facility		$3,808.73	$3,819.90	$5,140.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,128.51 / $4,462.17 / $7,299.74	Professional		$3,128.51	$4,462.17	$7,299.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,413.91 / $5,413.91 / $8,797.60	Facility		$5,413.91	$5,413.91	$8,797.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,688.09 / $1,732.46 / $3,305.31	Professional		$1,688.09	$1,732.46	$3,305.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,403.19 / $3,403.19 / $3,403.19	Facility		$3,403.19	$3,403.19	$3,403.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,688.52 / $3,403.19 / $3,403.19	Professional		$2,688.52	$3,403.19	$3,403.19