Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,073.73 / $2,360.56 / $2,360.56	Facility		$2,073.73	$2,360.56	$2,360.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.77 / $1,401.07 / $2,042.65	Professional		$971.77	$1,401.07	$2,042.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $2,867.04	Facility		$1,823.10	$1,823.10	$2,867.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,823.10 / $3,267.38 / $4,084.22	Professional		$1,823.10	$3,267.38	$4,084.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,395.51 / $2,818.25 / $3,097.87	Professional		$2,395.51	$2,818.25	$3,097.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,662.14 / $3,388.32 / $12,483.67	Facility		$1,662.14	$3,388.32	$12,483.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,246.03 / $1,625.72 / $3,561.09	Professional		$1,246.03	$1,625.72	$3,561.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,858.65 / $2,867.04 / $3,543.83	Facility		$2,858.65	$2,867.04	$3,543.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,429.66 / $3,349.09 / $5,478.84	Professional		$2,429.66	$3,349.09	$5,478.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,246.03 / $1,384.33 / $3,066.73	Professional		$1,246.03	$1,384.33	$3,066.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,554.27 / $2,554.27 / $2,554.27	Facility		$2,554.27	$2,554.27	$2,554.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,017.87 / $2,554.27 / $2,554.27	Professional		$2,017.87	$2,554.27	$2,554.27