Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $3,854.36 / $7,119.04	Facility		$2,906.00	$3,854.36	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.91 / $517.89 / $1,656.80	Professional		$321.91	$517.89	$1,656.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.29 / $724.56 / $1,117.03	Professional		$381.29	$724.56	$1,117.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $240.51 / $457.91 / $1,108.63	Professional		$240.51	$457.91	$1,108.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $391.32 / $690.75 / $1,633.82	Facility		$391.32	$690.75	$1,633.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $454.84 / $707.15 / $1,916.00	Professional		$454.84	$707.15	$1,916.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $651.00 / $994.42	Facility		$528.54	$651.00	$994.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $555.17 / $727.41 / $1,077.38	Professional		$555.17	$727.41	$1,077.38
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 $411.03 / $568.54 / $1,137.08	Professional		$411.03	$568.54	$1,137.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $544.70 / $819.60	Professional		$463.00	$544.70	$819.60