Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.30 / $1,982.30 / $2,405.11	Facility		$1,982.30	$1,982.30	$2,405.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.62 / $1,823.66 / $2,737.46	Professional		$1,012.62	$1,823.66	$2,737.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $2,722.29	Facility		$1,440.00	$1,440.00	$2,722.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $3,832.50 / $4,921.25	Professional		$1,440.00	$3,832.50	$4,921.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $314.64 / $3,644.73	Professional		$314.64	$314.64	$3,644.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.64 / $3,571.31 / $14,832.59	Facility		$363.64	$3,571.31	$14,832.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,188.14 / $1,524.89 / $3,611.92	Professional		$1,188.14	$1,524.89	$3,611.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $363.64 / $363.64 / $859.51	Facility		$363.64	$363.64	$859.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $362.57 / $435.82 / $859.51	Professional		$362.57	$435.82	$859.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.09 / $1,391.26 / $3,455.83	Professional		$1,260.09	$1,391.26	$3,455.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,350.42 / $2,975.22 / $2,975.22	Professional		$2,350.42	$2,975.22	$2,975.22