Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $2,344.23	Facility		$1,513.56	$2,344.23	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $2,290.87	Professional		$831.76	$1,348.96	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $2,238.72	Facility		$144.54	$144.54	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $2,951.21 / $3,715.35	Professional		$147.91	$2,951.21	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $371.54 / $2,089.30	Professional		$151.36	$371.54	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $831.76 / $11,748.98	Facility		$245.47	$831.76	$11,748.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $2,041.74	Professional		$549.54	$912.01	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $5,128.61	Professional		$1,621.81	$2,884.03	$5,128.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,290.87	Facility		$2,238.72	$2,238.72	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $691.83 / $1,148.15	Facility		$104.71	$691.83	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $2,089.30	Professional		$758.58	$912.01	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,290.87	Professional		$1,819.70	$2,290.87	$2,290.87