Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.50 / $1,086.50 / $1,308.13	Facility		$1,086.50	$1,086.50	$1,308.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.17 / $996.85 / $1,500.40	Professional		$586.17	$996.85	$1,500.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $1,803.27	Facility		$504.00	$504.00	$1,803.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.43 / $1,803.27 / $2,601.56	Professional		$154.43	$1,803.27	$2,601.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.46 / $172.46 / $3,436.63	Professional		$172.46	$172.46	$3,436.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $237.20 / $2,203.10 / $9,825.29	Facility		$237.20	$2,203.10	$9,825.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,324.00 / $2,456.58	Professional		$897.00	$1,324.00	$2,456.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $204.01 / $204.01 / $482.20	Facility		$204.01	$204.01	$482.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $243.81 / $482.20	Professional		$202.46	$243.81	$482.20
United Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,206.80 / $2,456.58	Professional		$897.00	$1,206.80	$2,456.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.62 / $1,669.14 / $1,669.14	Professional		$1,318.62	$1,669.14	$1,669.14