Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,099.15 / $1,251.70 / $1,251.70	Facility		$1,099.15	$1,251.70	$1,251.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.89 / $801.78 / $1,263.00	Professional		$625.89	$801.78	$1,263.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $1,635.76	Facility		$967.10	$967.10	$1,635.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.10 / $1,732.50 / $2,165.63	Professional		$967.10	$1,732.50	$2,165.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.67 / $1,605.23 / $1,926.94	Professional		$1,419.67	$1,605.23	$1,926.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $948.32 / $1,910.79 / $6,958.79	Facility		$948.32	$1,910.79	$6,958.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $710.91 / $949.91 / $2,031.75	Professional		$710.91	$949.91	$2,031.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,630.97 / $1,635.76 / $2,028.03	Facility		$1,630.97	$1,635.76	$2,028.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,339.70 / $1,910.79 / $3,125.90	Professional		$1,339.70	$1,910.79	$3,125.90
United Facility/Professional Professional Modifier Low / Median / High Price $685.93 / $751.67 / $1,415.40	Professional		$685.93	$751.67	$1,415.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,457.31 / $1,457.31 / $1,457.31	Facility		$1,457.31	$1,457.31	$1,457.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,151.27 / $1,457.31 / $1,457.31	Professional		$1,151.27	$1,457.31	$1,457.31