Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,362.31 / $3,362.31 / $4,051.69	Facility		$3,362.31	$3,362.31	$4,051.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,349.16 / $3,085.80 / $4,643.18	Professional		$2,349.16	$3,085.80	$4,643.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,643.20 / $3,621.85 / $3,621.85	Facility		$2,643.20	$3,621.85	$3,621.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.69 / $5,707.50 / $7,134.38	Professional		$431.69	$5,707.50	$7,134.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $533.70 / $533.70 / $7,011.13	Professional		$533.70	$533.70	$7,011.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $695.20 / $4,643.18 / $8,748.94	Facility		$695.20	$4,643.18	$8,748.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,699.24 / $2,398.92 / $5,402.25	Professional		$1,699.24	$2,398.92	$5,402.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $699.85 / $699.85 / $1,654.20	Facility		$699.85	$699.85	$1,654.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $695.20 / $836.89 / $1,654.20	Professional		$695.20	$836.89	$1,654.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,852.20 / $2,006.55 / $5,072.56	Professional		$1,852.20	$2,006.55	$5,072.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,523.60 / $5,726.07 / $5,726.07	Professional		$4,523.60	$5,726.07	$5,726.07