Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.78 / $1,847.88 / $1,847.88	Facility		$1,223.78	$1,847.88	$1,847.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.27 / $1,077.23 / $1,721.89	Professional		$689.27	$1,077.23	$1,721.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $2,426.78	Facility		$1,427.14	$1,427.14	$2,426.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.14 / $2,557.50 / $3,196.88	Professional		$1,427.14	$2,557.50	$3,196.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,875.24 / $2,440.35 / $2,929.42	Professional		$1,875.24	$2,440.35	$2,929.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,406.91 / $2,647.39 / $8,775.70	Facility		$1,406.91	$2,647.39	$8,775.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $981.90 / $1,243.46 / $3,014.25	Professional		$981.90	$1,243.46	$3,014.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,419.69 / $2,426.78 / $2,908.51	Facility		$2,419.69	$2,426.78	$2,908.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,899.38 / $2,613.44 / $4,637.52	Professional		$1,899.38	$2,613.44	$4,637.52
United Facility/Professional Professional Modifier Low / Median / High Price $931.67 / $1,100.63 / $2,868.01	Professional		$931.67	$1,100.63	$2,868.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,162.04 / $2,162.04 / $2,162.04	Facility		$2,162.04	$2,162.04	$2,162.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,708.01 / $2,162.04 / $2,162.04	Professional		$1,708.01	$2,162.04	$2,162.04