Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.32 / $1,130.85 / $1,130.85	Facility		$866.32	$1,130.85	$1,130.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.42 / $659.24 / $986.71	Professional		$469.42	$659.24	$986.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $1,335.64	Facility		$957.73	$957.73	$1,335.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.73 / $1,565.25 / $1,956.56	Professional		$957.73	$1,565.25	$1,956.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.59 / $1,370.26 / $1,679.03	Professional		$1,147.59	$1,370.26	$1,679.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $774.33 / $1,578.49 / $5,705.72	Facility		$774.33	$1,578.49	$5,705.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.47 / $762.30 / $1,658.97	Professional		$580.47	$762.30	$1,658.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,331.73 / $1,335.64 / $1,661.71	Facility		$1,331.73	$1,335.64	$1,661.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,093.88 / $1,560.21 / $2,552.37	Professional		$1,093.88	$1,560.21	$2,552.37
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $578.75 / $630.67 / $1,591.33	Professional		$578.75	$630.67	$1,591.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,189.94 / $1,189.94 / $1,189.94	Facility		$1,189.94	$1,189.94	$1,189.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $940.05 / $1,189.94 / $1,189.94	Professional		$940.05	$1,189.94	$1,189.94