Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.55 / $1,485.55 / $1,557.30	Facility		$1,485.55	$1,485.55	$1,557.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.62 / $979.06 / $1,485.55	Professional		$680.62	$979.06	$1,485.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $2,099.48	Facility		$1,018.60	$1,018.60	$2,099.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,658.71 / $2,073.39 / $2,570.16	Professional		$1,658.71	$2,073.39	$2,570.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,633.84 / $1,851.26 / $2,056.96	Professional		$1,633.84	$1,851.26	$2,056.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,217.17 / $2,476.40 / $8,447.07	Facility		$1,217.17	$2,476.40	$8,447.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.45 / $1,161.13 / $2,580.73	Professional		$912.45	$1,161.13	$2,580.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,093.36 / $2,099.48 / $2,516.27	Facility		$2,093.36	$2,099.48	$2,516.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,733.00 / $2,452.50 / $4,012.09	Professional		$1,733.00	$2,452.50	$4,012.09
United Facility/Professional Professional Modifier Low / Median / High Price $813.25 / $983.94 / $2,501.42	Professional		$813.25	$983.94	$2,501.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,870.46 / $1,870.46 / $1,870.46	Facility		$1,870.46	$1,870.46	$1,870.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,477.66 / $1,870.46 / $1,870.46	Professional		$1,477.66	$1,870.46	$1,870.46