Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.78 / $2,019.99 / $2,019.99	Facility		$1,773.78	$2,019.99	$2,019.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.07 / $1,293.94 / $2,038.23	Professional		$1,010.07	$1,293.94	$2,038.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $2,639.78	Facility		$1,346.19	$1,346.19	$2,639.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.19 / $2,796.00 / $3,495.00	Professional		$1,346.19	$2,796.00	$3,495.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,291.06 / $2,424.69 / $2,942.92	Professional		$2,291.06	$2,424.69	$2,942.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,530.39 / $3,119.74 / $11,271.87	Facility		$1,530.39	$3,119.74	$11,271.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,147.25 / $1,501.40 / $3,278.81	Professional		$1,147.25	$1,501.40	$3,278.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,632.06 / $2,639.78 / $3,272.85	Facility		$2,632.06	$2,639.78	$3,272.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,161.98 / $3,083.62 / $5,044.55	Professional		$2,161.98	$3,083.62	$5,044.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.85 / $1,278.47 / $3,135.13	Professional		$1,143.85	$1,278.47	$3,135.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,351.80 / $2,351.80 / $2,351.80	Facility		$2,351.80	$2,351.80	$2,351.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,857.92 / $2,351.80 / $2,351.80	Professional		$1,857.92	$2,351.80	$2,351.80