Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,466.01 / $2,466.01 / $2,968.61	Facility		$2,466.01	$2,466.01	$2,968.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.31 / $2,262.46 / $3,405.44	Professional		$1,262.31	$2,262.46	$3,405.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,399.94 / $2,399.94 / $3,992.48	Facility		$2,399.94	$2,399.94	$3,992.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.90 / $3,992.48 / $5,971.88	Professional		$355.90	$3,992.48	$5,971.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $391.43 / $391.43 / $5,271.39	Professional		$391.43	$391.43	$5,271.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.79 / $4,788.92 / $21,753.30	Facility		$528.79	$4,788.92	$21,753.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,718.41 / $2,205.44 / $5,574.88	Professional		$1,718.41	$2,205.44	$5,574.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $453.30 / $453.30 / $1,071.43	Facility		$453.30	$453.30	$1,071.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $451.36 / $543.28 / $1,071.43	Professional		$451.36	$543.28	$1,071.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,970.04 / $2,103.46 / $5,574.88	Professional		$1,970.04	$2,103.46	$5,574.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,929.96 / $3,708.81 / $3,708.81	Professional		$2,929.96	$3,708.81	$3,708.81