Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,573.74 / $6,573.74 / $7,914.38	Facility		$6,573.74	$6,573.74	$7,914.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,510.05 / $5,764.17 / $9,078.02	Professional		$3,510.05	$5,764.17	$9,078.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,180.63 / $7,608.68 / $7,608.68	Facility		$5,180.63	$7,608.68	$7,608.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.70 / $12,641.25 / $15,801.56	Professional		$906.70	$12,641.25	$15,801.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.45 / $1,043.45 / $8,662.90	Professional		$1,043.45	$1,043.45	$8,662.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $753.77 / $6,057.03 / $13,316.81	Facility		$753.77	$6,057.03	$13,316.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,979.39 / $3,738.60 / $9,931.31	Professional		$2,979.39	$3,738.60	$9,931.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,260.51 / $1,260.51 / $2,979.39	Facility		$1,260.51	$1,260.51	$2,979.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,255.79 / $1,510.73 / $2,979.39	Professional		$1,255.79	$1,510.73	$2,979.39
United Facility/Professional Professional Modifier Low / Median / High Price $3,171.93 / $3,738.60 / $9,908.50	Professional		$3,171.93	$3,738.60	$9,908.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,147.49 / $10,313.28 / $10,313.28	Professional		$8,147.49	$10,313.28	$10,313.28