Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.23 / $1,789.23 / $1,873.49	Facility		$1,789.23	$1,789.23	$1,873.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.17 / $1,213.25 / $1,745.20	Professional		$833.17	$1,213.25	$1,745.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $2,124.44	Facility		$1,206.80	$1,206.80	$2,124.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.80 / $2,985.38 / $3,731.72	Professional		$1,206.80	$2,985.38	$3,731.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,838.25 / $2,223.46 / $2,575.08	Professional		$1,838.25	$2,223.46	$2,575.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,213.25 / $2,510.69 / $10,169.41	Facility		$1,213.25	$2,510.69	$10,169.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $923.29 / $1,088.54 / $2,638.73	Professional		$923.29	$1,088.54	$2,638.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,118.23 / $2,124.44 / $2,933.94	Facility		$2,118.23	$2,124.44	$2,933.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,923.51 / $2,510.69 / $4,059.75	Professional		$1,923.51	$2,510.69	$4,059.75
United Facility/Professional Professional Modifier Low / Median / High Price $945.04 / $963.51 / $2,533.23	Professional		$945.04	$963.51	$2,533.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,892.68 / $1,892.68 / $1,892.68	Facility		$1,892.68	$1,892.68	$1,892.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,495.22 / $1,892.68 / $1,892.68	Professional		$1,495.22	$1,892.68	$1,892.68