Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.04 / $1,153.24 / $1,153.24	Facility		$942.04	$1,153.24	$1,153.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.08 / $777.67 / $1,200.41	Professional		$571.08	$777.67	$1,200.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $1,899.07	Facility		$809.08	$809.08	$1,899.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.08 / $1,596.00 / $1,995.00	Professional		$809.08	$1,596.00	$1,995.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.84 / $2,018.70 / $2,596.00	Professional		$1,376.84	$2,018.70	$2,596.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,100.97 / $2,071.71 / $5,928.30	Facility		$1,100.97	$2,071.71	$5,928.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $768.38 / $924.41 / $2,262.62	Professional		$768.38	$924.41	$2,262.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,893.51 / $1,899.07 / $2,276.05	Facility		$1,893.51	$1,899.07	$2,276.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,486.35 / $2,045.14 / $3,629.10	Professional		$1,486.35	$2,045.14	$3,629.10
United Facility/Professional Professional Modifier Low / Median / High Price $729.07 / $861.29 / $2,003.44	Professional		$729.07	$861.29	$2,003.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,553.79 / $1,553.79 / $1,553.79	Facility		$1,553.79	$1,553.79	$1,553.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,227.49 / $1,553.79 / $1,553.79	Professional		$1,227.49	$1,553.79	$1,553.79