Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.86 / $1,391.83 / $1,391.83	Facility		$1,138.86	$1,391.83	$1,391.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.60 / $890.78 / $1,391.83	Professional		$678.60	$890.78	$1,391.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.75 / $926.75 / $1,684.23	Facility		$926.75	$926.75	$1,684.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.03 / $1,926.38 / $2,407.96	Professional		$1,554.03	$1,926.38	$2,407.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.90 / $1,529.20 / $1,661.69	Professional		$1,273.90	$1,529.20	$1,661.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $976.42 / $2,019.58 / $7,755.74	Facility		$976.42	$2,019.58	$7,755.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $739.92 / $986.56 / $2,160.19	Professional		$739.92	$986.56	$2,160.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,679.30 / $1,684.23 / $3,218.52	Facility		$1,679.30	$1,684.23	$3,218.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,379.38 / $2,018.56 / $3,980.91	Professional		$1,379.38	$2,018.56	$3,980.91
United Facility/Professional Professional Modifier Low / Median / High Price $739.92 / $869.58 / $2,091.94	Professional		$739.92	$869.58	$2,091.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,500.50 / $1,500.50 / $1,500.50	Facility		$1,500.50	$1,500.50	$1,500.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,185.40 / $1,500.50 / $1,500.50	Professional		$1,185.40	$1,500.50	$1,500.50