Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.55 / $2,721.62 / $3,414.82	Facility		$1,085.55	$2,721.62	$3,414.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.09 / $775.39 / $833.51	Professional		$765.09	$775.39	$833.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,146.61 / $1,146.61 / $1,146.61	Facility		$1,146.61	$1,146.61	$1,146.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,722.99 / $2,320.12 / $2,900.15	Professional		$1,722.99	$2,320.12	$2,900.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $951.35 / $1,292.08 / $2,951.60	Professional		$951.35	$1,292.08	$2,951.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $542.16 / $1,362.66 / $2,102.14	Facility		$542.16	$1,362.66	$2,102.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $811.98 / $1,060.80 / $3,346.60	Professional		$811.98	$1,060.80	$3,346.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $427.47 / $1,146.61 / $2,451.21	Facility		$427.47	$1,146.61	$2,451.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,647.30 / $1,863.14 / $2,856.58	Professional		$1,647.30	$1,863.14	$2,856.58
United Facility/Professional Facility Modifier Low / Median / High Price $683.71 / $1,118.69 / $1,362.66	Facility		$683.71	$1,118.69	$1,362.66
United Facility/Professional Professional Modifier Low / Median / High Price $803.77 / $964.52 / $1,635.40	Professional		$803.77	$964.52	$1,635.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,332.41 / $1,686.60 / $1,984.20	Professional		$1,332.41	$1,686.60	$1,984.20