Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.26 / $2,387.26 / $2,839.11	Facility		$2,387.26	$2,387.26	$2,839.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.98 / $2,354.80 / $3,296.69	Professional		$1,195.98	$2,354.80	$3,296.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,360.51 / $3,360.51 / $3,360.51	Facility		$3,360.51	$3,360.51	$3,360.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,910.00 / $3,637.50 / $7,466.71	Professional		$2,910.00	$3,637.50	$7,466.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $378.93 / $1,083.63 / $1,231.07	Professional		$378.93	$1,083.63	$1,231.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $606.79 / $3,442.39 / $9,481.87	Facility		$606.79	$3,442.39	$9,481.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $541.27 / $4,780.56	Professional		$197.64	$541.27	$4,780.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $606.79 / $606.79 / $1,434.24	Facility		$606.79	$606.79	$1,434.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $603.66 / $753.52 / $1,434.24	Professional		$603.66	$753.52	$1,434.24
United Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $414.53 / $4,375.20	Professional		$197.64	$414.53	$4,375.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,964.67 / $4,964.67 / $4,964.67	Facility		$4,964.67	$4,964.67	$4,964.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,922.09 / $4,964.67 / $4,964.67	Professional		$3,922.09	$4,964.67	$4,964.67