Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,232.52 / $4,810.22 / $17,075.98	Facility		$4,232.52	$4,810.22	$17,075.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,405.30 / $3,082.05 / $4,853.70	Professional		$2,405.30	$3,082.05	$4,853.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,536.46 / $4,536.46 / $6,286.16	Facility		$4,536.46	$4,536.46	$6,286.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,536.46 / $6,657.75 / $8,322.19	Professional		$4,536.46	$6,657.75	$8,322.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,455.74 / $6,278.86 / $7,537.19	Professional		$5,455.74	$6,278.86	$7,537.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,644.35 / $7,343.10 / $26,749.15	Facility		$3,644.35	$7,343.10	$26,749.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,731.99 / $3,576.22 / $7,807.93	Professional		$2,731.99	$3,576.22	$7,807.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,267.76 / $6,286.16 / $7,795.66	Facility		$6,267.76	$6,286.16	$7,795.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,148.39 / $7,343.10 / $12,012.74	Professional		$5,148.39	$7,343.10	$12,012.74
United Facility/Professional Professional Modifier Low / Median / High Price $2,731.99 / $2,958.77 / $7,465.74	Professional		$2,731.99	$2,958.77	$7,465.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5,714.69 / $5,714.69 / $5,714.69	Facility		$5,714.69	$5,714.69	$5,714.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,514.60 / $5,714.69 / $5,714.69	Professional		$4,514.60	$5,714.69	$5,714.69