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 $546.37 / $692.69 / $2,775.15	Professional		$546.37	$692.69	$2,775.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.44 / $1,309.85 / $1,679.93	Professional		$658.44	$1,309.85	$1,679.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $419.03 / $726.80 / $1,225.96	Professional		$419.03	$726.80	$1,225.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $566.13 / $1,015.27 / $1,623.00	Facility		$566.13	$1,015.27	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $606.17 / $1,102.14 / $3,381.52	Professional		$606.17	$1,102.14	$3,381.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $953.00 / $1,512.46	Facility		$528.54	$953.00	$1,512.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $782.00 / $1,121.13 / $1,515.48	Professional		$782.00	$1,121.13	$1,515.48
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 $564.58 / $826.61 / $1,501.90	Professional		$564.58	$826.61	$1,501.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $827.10 / $973.00 / $1,231.80	Professional		$827.10	$973.00	$1,231.80