Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.09 / $574.73 / $2,304.35	Professional		$535.09	$574.73	$2,304.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.74 / $1,079.05 / $1,615.08	Professional		$562.74	$1,079.05	$1,615.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $352.43 / $691.89 / $1,298.88	Professional		$352.43	$691.89	$1,298.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.48 / $876.35 / $1,568.50	Facility		$489.48	$876.35	$1,568.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $611.64 / $962.35 / $2,824.56	Professional		$611.64	$962.35	$2,824.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.29 / $874.56 / $1,415.82	Facility		$341.29	$874.56	$1,415.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $730.97 / $1,030.45 / $1,574.61	Professional		$730.97	$1,030.45	$1,574.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.86 / $804.92 / $1,398.19	Professional		$570.86	$804.92	$1,398.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $690.10 / $811.90 / $1,212.30	Professional		$690.10	$811.90	$1,212.30