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 $811.53 / $1,143.77 / $4,517.35	Professional		$811.53	$1,143.77	$4,517.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.87 / $1,986.71 / $2,483.38	Professional		$1,020.87	$1,986.71	$2,483.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $695.03 / $1,195.35 / $2,231.51	Professional		$695.03	$1,195.35	$2,231.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $987.88 / $1,909.73 / $8,909.26	Facility		$987.88	$1,909.73	$8,909.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $993.55 / $1,705.60 / $5,627.28	Professional		$993.55	$1,705.60	$5,627.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $2,150.84 / $3,908.14	Facility		$1,424.00	$2,150.84	$3,908.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,420.86 / $1,867.43 / $2,365.96	Professional		$1,420.86	$1,867.43	$2,365.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $910.76 / $1,290.91 / $2,342.78	Professional		$910.76	$1,290.91	$2,342.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,229.00 / $1,555.70 / $1,830.20	Professional		$1,229.00	$1,555.70	$1,830.20