Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,755.49 / $3,755.49 / $4,525.50	Facility		$3,755.49	$3,755.49	$4,525.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,571.41 / $3,324.07 / $5,186.16	Professional		$2,571.41	$3,324.07	$5,186.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $3,552.71	Facility		$2,187.00	$2,187.00	$3,552.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.09 / $3,552.71 / $7,954.69	Professional		$455.09	$3,552.71	$7,954.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $596.11 / $596.11 / $7,330.76	Professional		$596.11	$596.11	$7,330.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $787.28 / $5,872.68 / $8,707.35	Facility		$787.28	$5,872.68	$8,707.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,866.88 / $2,689.96 / $5,716.67	Professional		$1,866.88	$2,689.96	$5,716.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $792.62 / $792.62 / $1,873.46	Facility		$792.62	$792.62	$1,873.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $787.28 / $947.78 / $1,873.46	Professional		$787.28	$947.78	$1,873.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,022.46 / $2,421.38 / $5,665.75	Professional		$2,022.46	$2,421.38	$5,665.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,123.18 / $6,485.04 / $6,485.04	Professional		$5,123.18	$6,485.04	$6,485.04