Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $9,248.33	Facility		$3,468.00	$4,917.20	$9,248.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,036.70 / $1,503.41 / $5,737.00	Professional		$1,036.70	$1,503.41	$5,737.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.42 / $2,553.89 / $3,192.36	Professional		$1,315.42	$2,553.89	$3,192.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $913.31 / $1,525.55 / $2,786.75	Professional		$913.31	$1,525.55	$2,786.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,268.39 / $2,521.27 / $8,909.26	Facility		$1,268.39	$2,521.27	$8,909.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,272.42 / $2,216.08 / $7,391.20	Professional		$1,272.42	$2,216.08	$7,391.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,784.00 / $2,765.09 / $3,908.14	Facility		$1,784.00	$2,765.09	$3,908.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,784.00 / $2,452.48 / $3,062.80	Professional		$1,784.00	$2,452.48	$3,062.80
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 $1,168.66 / $1,593.63 / $2,936.64	Professional		$1,168.66	$1,593.63	$2,936.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,585.45 / $2,006.90 / $2,361.00	Professional		$1,585.45	$2,006.90	$2,361.00