Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.96 / $1,338.02 / $1,338.02	Facility		$1,174.96	$1,338.02	$1,338.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.08 / $857.10 / $1,350.14	Professional		$669.08	$857.10	$1,350.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $1,748.58	Facility		$891.71	$891.71	$1,748.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.71 / $1,851.75 / $2,314.69	Professional		$891.71	$1,851.75	$2,314.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,517.58 / $1,686.45 / $2,024.43	Professional		$1,517.58	$1,686.45	$2,024.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,013.72 / $2,042.58 / $7,438.91	Facility		$1,013.72	$2,042.58	$7,438.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $759.94 / $1,015.42 / $2,171.88	Professional		$759.94	$1,015.42	$2,171.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,743.46 / $1,748.58 / $2,167.92	Facility		$1,743.46	$1,748.58	$2,167.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,432.10 / $2,042.58 / $3,341.51	Professional		$1,432.10	$2,042.58	$3,341.51
United Facility/Professional Professional Modifier Low / Median / High Price $785.97 / $793.04 / $1,892.18	Professional		$785.97	$793.04	$1,892.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,557.83 / $1,557.83 / $1,557.83	Facility		$1,557.83	$1,557.83	$1,557.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.69 / $1,557.83 / $1,557.83	Professional		$1,230.69	$1,557.83	$1,557.83