Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.69 / $1,302.49 / $1,302.49	Facility		$1,251.69	$1,302.49	$1,302.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.04 / $1,033.30 / $1,740.60	Professional		$708.04	$1,033.30	$1,740.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $2,071.21	Facility		$1,212.63	$1,212.63	$2,071.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,212.63 / $2,173.13 / $2,716.41	Professional		$1,212.63	$2,173.13	$2,716.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.31 / $1,874.55 / $1,972.78	Professional		$1,682.31	$1,874.55	$1,972.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,182.84 / $2,214.23 / $9,141.02	Facility		$1,182.84	$2,214.23	$9,141.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $858.30 / $991.97 / $2,572.61	Professional		$858.30	$991.97	$2,572.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,065.15 / $2,071.21 / $2,613.59	Facility		$2,065.15	$2,071.21	$2,613.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,696.32 / $2,419.46 / $3,958.05	Professional		$1,696.32	$2,419.46	$3,958.05
United Facility/Professional Professional Modifier Low / Median / High Price $850.64 / $939.37 / $2,215.50	Professional		$850.64	$939.37	$2,215.50
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,845.26 / $1,845.26 / $1,845.26	Facility		$1,845.26	$1,845.26	$1,845.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,457.76 / $1,845.26 / $1,845.26	Professional		$1,457.76	$1,845.26	$1,845.26