Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,603.76 / $1,603.76 / $1,930.93	Facility		$1,603.76	$1,603.76	$1,930.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.35 / $1,527.39 / $2,214.71	Professional		$875.35	$1,527.39	$2,214.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.64 / $2,217.64 / $3,023.21	Facility		$2,217.64	$2,217.64	$3,023.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,074.13 / $2,433.50 / $3,824.06	Professional		$2,074.13	$2,433.50	$3,824.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $250.71 / $263.89 / $263.89	Professional		$250.71	$263.89	$263.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $351.51 / $4,099.42 / $12,404.85	Facility		$351.51	$4,099.42	$12,404.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,027.08 / $1,398.36 / $3,626.18	Professional		$1,027.08	$1,398.36	$3,626.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $302.32 / $302.32 / $714.58	Facility		$302.32	$302.32	$714.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $300.04 / $361.33 / $714.58	Professional		$300.04	$361.33	$714.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,186.56 / $1,398.36 / $3,626.18	Professional		$1,186.56	$1,398.36	$3,626.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,954.09 / $2,473.53 / $2,473.53	Professional		$1,954.09	$2,473.53	$2,473.53