Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.00 / $1,498.68 / $1,498.68	Facility		$1,248.00	$1,498.68	$1,498.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.02 / $927.08 / $1,380.57	Professional		$643.02	$927.08	$1,380.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,945.74	Facility		$1,260.83	$1,260.83	$1,945.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.83 / $2,074.13 / $2,592.66	Professional		$1,260.83	$2,074.13	$2,592.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,599.95 / $1,789.26 / $1,960.48	Professional		$1,599.95	$1,789.26	$1,960.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,128.03 / $2,299.51 / $8,127.52	Facility		$1,128.03	$2,299.51	$8,127.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $845.63 / $1,076.09 / $2,416.77	Professional		$845.63	$1,076.09	$2,416.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,940.04 / $1,945.74 / $2,344.94	Facility		$1,940.04	$1,945.74	$2,344.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,593.56 / $2,272.89 / $3,718.26	Professional		$1,593.56	$2,272.89	$3,718.26
United Facility/Professional Professional Modifier Low / Median / High Price $845.63 / $938.64 / $2,081.32	Professional		$845.63	$938.64	$2,081.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,733.47 / $1,733.47 / $1,733.47	Facility		$1,733.47	$1,733.47	$1,733.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,369.44 / $1,733.47 / $1,733.47	Professional		$1,369.44	$1,733.47	$1,733.47