Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,713.08 / $1,713.08 / $1,773.42	Facility		$1,713.08	$1,713.08	$1,773.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.18 / $1,275.75 / $1,897.16	Professional		$874.18	$1,275.75	$1,897.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $2,336.53	Facility		$1,327.28	$1,327.28	$2,336.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.28 / $2,858.25 / $3,572.81	Professional		$1,327.28	$2,858.25	$3,572.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,017.91 / $2,483.73 / $5,906.75	Professional		$2,017.91	$2,483.73	$5,906.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,334.37 / $2,729.39 / $11,068.57	Facility		$1,334.37	$2,729.39	$11,068.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,015.46 / $1,197.22 / $2,902.17	Professional		$1,015.46	$1,197.22	$2,902.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,329.69 / $2,336.53 / $3,226.86	Facility		$2,329.69	$2,336.53	$3,226.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,077.79 / $2,761.36 / $4,465.09	Professional		$2,077.79	$2,761.36	$4,465.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,398.59 / $3,398.59 / $5,522.71	Facility		$3,398.59	$3,398.59	$5,522.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,037.58 / $1,061.42 / $2,499.23	Professional		$1,037.58	$1,061.42	$2,499.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,081.64 / $2,081.64 / $2,081.64	Facility		$2,081.64	$2,081.64	$2,081.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,644.50 / $2,081.64 / $2,081.64	Professional		$1,644.50	$2,081.64	$2,081.64