Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.24 / $1,658.58 / $1,658.58	Facility		$1,465.24	$1,658.58	$1,658.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.84 / $1,226.90 / $2,045.97	Professional		$828.84	$1,226.90	$2,045.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $2,215.35	Facility		$1,544.16	$1,544.16	$2,215.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.16 / $2,767.50 / $3,459.38	Professional		$1,544.16	$2,767.50	$3,459.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.25 / $2,172.55 / $2,387.05	Professional		$1,913.25	$2,172.55	$2,387.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,265.15 / $2,587.82 / $10,889.05	Facility		$1,265.15	$2,587.82	$10,889.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $962.80 / $1,135.13 / $2,751.64	Professional		$962.80	$1,135.13	$2,751.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,215.35 / $2,238.00 / $3,059.48	Facility		$2,215.35	$2,238.00	$3,059.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,814.38 / $2,618.14 / $4,233.47	Professional		$1,814.38	$2,618.14	$4,233.47
United Facility/Professional Professional Modifier Low / Median / High Price $962.80 / $1,004.74 / $2,369.67	Professional		$962.80	$1,004.74	$2,369.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,973.67 / $1,973.67 / $1,973.67	Facility		$1,973.67	$1,973.67	$1,973.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,559.20 / $1,973.67 / $1,973.67	Professional		$1,559.20	$1,973.67	$1,973.67