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 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.16 / $380.15 / $1,515.21	Professional		$346.16	$380.15	$1,515.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.05 / $708.01 / $1,068.33	Professional		$372.05	$708.01	$1,068.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $450.73 / $656.74	Professional		$234.70	$450.73	$656.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.15 / $596.37 / $1,341.00	Facility		$380.15	$596.37	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.41 / $605.42 / $1,865.60	Professional		$383.41	$605.42	$1,865.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.29 / $516.67 / $918.55	Facility		$341.29	$516.67	$918.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $437.18 / $681.21 / $918.55	Professional		$437.18	$681.21	$918.55
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 $383.41 / $522.83 / $1,134.63	Professional		$383.41	$522.83	$1,134.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $455.90 / $536.40 / $788.20	Professional		$455.90	$536.40	$788.20