Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,623.70 / $2,623.70 / $3,163.91	Facility		$2,623.70	$2,623.70	$3,163.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,787.50 / $2,457.66 / $3,623.20	Professional		$1,787.50	$2,457.66	$3,623.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $3,236.31	Facility		$2,290.69	$2,290.69	$3,236.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.69 / $3,236.31 / $4,992.18	Professional		$2,290.69	$3,236.31	$4,992.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.46 / $416.46 / $6,082.27	Professional		$416.46	$416.46	$6,082.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $598.16 / $4,879.47 / $6,867.42	Facility		$598.16	$4,879.47	$6,867.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,422.62 / $2,058.21 / $4,149.37	Professional		$1,422.62	$2,058.21	$4,149.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $601.88 / $601.88 / $1,422.62	Facility		$601.88	$601.88	$1,422.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $598.16 / $719.94 / $1,422.62	Professional		$598.16	$719.94	$1,422.62
United Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $402.16 / $2,725.20	Facility		$204.97	$402.16	$2,725.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,446.36 / $1,928.48 / $3,961.10	Professional		$1,446.36	$1,928.48	$3,961.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.31 / $4,924.43 / $4,924.43	Professional		$3,890.31	$4,924.43	$4,924.43