Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,444.39 / $4,209.39 / $4,209.39	Facility		$3,444.39	$4,209.39	$4,209.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,052.38 / $2,694.05 / $4,209.39	Professional		$2,052.38	$2,694.05	$4,209.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $5,093.68	Facility		$2,802.84	$2,802.84	$5,093.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,802.84 / $5,826.00 / $7,282.50	Professional		$2,802.84	$5,826.00	$7,282.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,491.10 / $5,144.09 / $6,303.25	Professional		$4,491.10	$5,144.09	$6,303.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,953.03 / $6,107.91 / $23,456.39	Facility		$2,953.03	$6,107.91	$23,456.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,237.80 / $2,983.73 / $6,533.24	Professional		$2,237.80	$2,983.73	$6,533.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,078.78 / $5,093.68 / $9,733.94	Facility		$5,078.78	$5,093.68	$9,733.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,171.75 / $6,104.84 / $12,039.64	Professional		$4,171.75	$6,104.84	$12,039.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,237.80 / $2,525.67 / $6,068.81	Professional		$2,237.80	$2,525.67	$6,068.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,538.02 / $4,538.02 / $4,538.02	Facility		$4,538.02	$4,538.02	$4,538.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,585.04 / $4,538.02 / $4,538.02	Professional		$3,585.04	$4,538.02	$4,538.02