Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,801.89 / $6,760.83	Facility		$1,380.38	$3,801.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,951.21	Professional		$831.76	$1,380.38	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $4,168.69	Professional		$2,137.96	$2,630.27	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,659.59 / $5,623.41	Professional		$912.01	$1,659.59	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,467.37 / $9,332.54	Facility		$1,380.38	$3,467.37	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,011.87	Professional		$1,698.24	$2,570.40	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $3,801.89	Professional		$1,995.26	$2,754.23	$3,801.89
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 $1,047.13 / $1,778.28 / $3,467.37	Professional		$1,047.13	$1,778.28	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,951.21	Professional		$1,621.81	$1,905.46	$2,951.21