Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,361.74 / $6,190.41 / $6,190.41	Facility		$5,361.74	$6,190.41	$6,190.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,014.32 / $3,906.14 / $6,190.41	Professional		$3,014.32	$3,906.14	$6,190.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,063.89 / $4,063.89 / $7,954.77	Facility		$4,063.89	$4,063.89	$7,954.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,063.89 / $8,568.00 / $10,710.00	Professional		$4,063.89	$8,568.00	$10,710.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,789.71 / $6,950.01 / $7,390.68	Professional		$5,789.71	$6,950.01	$7,390.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,611.72 / $9,292.27 / $31,266.85	Facility		$4,611.72	$9,292.27	$31,266.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,446.93 / $4,532.45 / $9,880.48	Professional		$3,446.93	$4,532.45	$9,880.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,931.50 / $7,954.77 / $9,880.11	Facility		$7,931.50	$7,954.77	$9,880.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,058.35 / $9,292.27 / $15,201.41	Professional		$6,058.35	$9,292.27	$15,201.41
United Facility/Professional Professional Modifier Low / Median / High Price $3,575.59 / $3,607.77 / $8,754.26	Professional		$3,575.59	$3,607.77	$8,754.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6,508.45 / $6,508.45 / $6,508.45	Facility		$6,508.45	$6,508.45	$6,508.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,141.68 / $6,508.45 / $6,508.45	Professional		$5,141.68	$6,508.45	$6,508.45