Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,412.21 / $3,412.21 / $4,111.97	Facility		$3,412.21	$3,412.21	$4,111.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.59 / $3,021.82 / $4,712.09	Professional		$2,337.59	$3,021.82	$4,712.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $3,172.80	Facility		$2,673.00	$2,673.00	$3,172.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.95 / $3,214.80 / $7,195.31	Professional		$421.95	$3,214.80	$7,195.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $541.62 / $541.62 / $6,828.90	Professional		$541.62	$541.62	$6,828.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.15 / $5,376.08 / $7,971.59	Facility		$724.15	$5,376.08	$7,971.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,744.37 / $2,465.87 / $5,223.39	Professional		$1,744.37	$2,465.87	$5,223.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $729.07 / $729.07 / $1,723.25	Facility		$729.07	$729.07	$1,723.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.15 / $871.79 / $1,723.25	Professional		$724.15	$871.79	$1,723.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,879.76 / $2,161.60 / $5,148.03	Professional		$1,879.76	$2,161.60	$5,148.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,712.43 / $5,965.11 / $5,965.11	Professional		$4,712.43	$5,965.11	$5,965.11