Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,445.44	Facility		$1,258.93	$1,318.26	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,445.44	Professional		$660.69	$954.99	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,344.23	Facility		$1,023.29	$1,023.29	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $2,630.27	Professional		$1,023.29	$2,089.30	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,137.96	Professional		$1,621.81	$1,995.26	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,398.83 / $8,511.38	Facility		$1,380.38	$2,398.83	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $3,467.37	Professional		$794.33	$1,230.27	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,398.83 / $2,691.53	Professional		$2,290.87	$2,398.83	$2,691.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,467.37 / $3,467.37	Professional		$1,862.09	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,348.96 / $2,630.27	Facility		$616.60	$1,348.96	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,819.70	Professional		$794.33	$1,047.13	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,041.74	Professional		$1,621.81	$2,041.74	$2,041.74