Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,047.13	Facility		$954.99	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,380.38	Professional		$602.56	$758.58	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,862.09	Facility		$851.14	$851.14	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,584.89 / $1,995.26	Professional		$851.14	$1,584.89	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $1,659.59	Professional		$1,348.96	$1,513.56	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $7,413.10	Facility		$1,148.15	$1,905.46	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $2,818.38	Professional		$691.83	$1,023.29	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $2,187.76	Professional		$1,819.70	$1,905.46	$2,187.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $2,818.38	Professional		$1,584.89	$2,818.38	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,148.15 / $2,238.72	Facility		$524.81	$1,148.15	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,445.44	Professional		$676.08	$831.76	$1,445.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,621.81	Professional		$1,288.25	$1,621.81	$1,621.81