Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $1,745.03 / $2,440.90	Facility		$897.00	$1,745.03	$2,440.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.02 / $690.69 / $690.69	Professional		$592.02	$690.69	$690.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,629.39 / $2,036.74	Professional		$1,030.84	$1,629.39	$2,036.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $762.45 / $1,166.09 / $1,569.75	Professional		$762.45	$1,166.09	$1,569.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,076.40 / $1,569.75 / $4,260.75	Facility		$1,076.40	$1,569.75	$4,260.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $538.20 / $538.20 / $2,268.51	Professional		$538.20	$538.20	$2,268.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,077.29 / $1,569.75 / $2,296.32	Facility		$1,077.29	$1,569.75	$2,296.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,569.75 / $2,314.76	Professional		$1,076.40	$1,569.75	$2,314.76
United Facility/Professional Professional Modifier Low / Median / High Price $538.20 / $538.20 / $1,955.46	Professional		$538.20	$538.20	$1,955.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $708.63 / $897.00 / $897.00	Professional		$708.63	$897.00	$897.00