Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,534.70 / $1,744.20 / $1,744.20	Facility		$1,534.70	$1,744.20	$1,744.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.16 / $1,117.55 / $1,759.94	Professional		$872.16	$1,117.55	$1,759.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $2,279.40	Facility		$1,162.68	$1,162.68	$2,279.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.68 / $2,414.25 / $3,017.81	Professional		$1,162.68	$2,414.25	$3,017.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,978.26 / $3,563.10 / $4,366.00	Professional		$1,978.26	$3,563.10	$4,366.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,024.56 / $2,693.83 / $9,699.25	Facility		$1,024.56	$2,693.83	$9,699.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $955.81 / $1,296.74 / $2,831.18	Professional		$955.81	$1,296.74	$2,831.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,272.71 / $2,279.40 / $2,826.69	Facility		$2,272.71	$2,279.40	$2,826.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,866.82 / $2,662.65 / $4,355.85	Professional		$1,866.82	$2,662.65	$4,355.85
United Facility/Professional Professional Modifier Low / Median / High Price $987.69 / $1,068.24 / $2,438.17	Professional		$987.69	$1,068.24	$2,438.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,864.96 / $1,864.96 / $1,864.96	Facility		$1,864.96	$1,864.96	$1,864.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,473.32 / $1,864.96 / $1,864.96	Professional		$1,473.32	$1,864.96	$1,864.96