Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,674.17 / $1,674.17 / $1,785.53	Facility		$1,674.17	$1,674.17	$1,785.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.76 / $1,105.50 / $1,611.73	Professional		$766.76	$1,105.50	$1,611.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $2,099.94	Facility		$1,408.48	$1,408.48	$2,099.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,408.48 / $2,317.13 / $2,896.41	Professional		$1,408.48	$2,317.13	$2,896.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,840.64 / $2,185.77 / $2,678.31	Professional		$1,840.64	$2,185.77	$2,678.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,217.43 / $2,481.75 / $9,898.48	Facility		$1,217.43	$2,481.75	$9,898.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $918.28 / $1,224.36 / $2,608.32	Professional		$918.28	$1,224.36	$2,608.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,093.81 / $2,099.94 / $2,796.23	Facility		$2,093.81	$2,099.94	$2,796.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,901.35 / $2,481.75 / $4,012.96	Professional		$1,901.35	$2,481.75	$4,012.96
United Facility/Professional Professional Modifier Low / Median / High Price $918.28 / $1,084.24 / $2,501.96	Professional		$918.28	$1,084.24	$2,501.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,870.86 / $1,870.86 / $1,870.86	Facility		$1,870.86	$1,870.86	$1,870.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,477.98 / $1,870.86 / $1,870.86	Professional		$1,477.98	$1,870.86	$1,870.86