Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,090.30 / $6,760.83	Facility		$1,096.48	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,819.70	Professional		$616.60	$794.33	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,290.87	Professional		$1,513.56	$1,819.70	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $2,089.30	Professional		$676.08	$1,096.48	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,862.09 / $9,332.54	Facility		$933.25	$1,862.09	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,548.82 / $2,454.71	Professional		$851.14	$1,548.82	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,137.96	Professional		$1,348.96	$1,778.28	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $10,715.19	Facility		$4,786.30	$7,762.47	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,995.26	Professional		$758.58	$1,047.13	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,659.59	Professional		$1,122.02	$1,412.54	$1,659.59