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 $467.66 / $520.14 / $2,069.29	Professional		$467.66	$520.14	$2,069.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.41 / $965.11 / $1,440.36	Professional		$510.41	$965.11	$1,440.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $321.62 / $618.22 / $887.72	Professional		$321.62	$618.22	$887.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.15 / $814.48 / $1,372.73	Facility		$446.15	$814.48	$1,372.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $525.54 / $850.83 / $2,554.71	Professional		$525.54	$850.83	$2,554.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.29 / $741.01 / $1,241.41	Facility		$341.29	$741.01	$1,241.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $609.67 / $933.10 / $1,282.41	Professional		$609.67	$933.10	$1,282.41
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 $515.89 / $716.66 / $1,201.22	Professional		$515.89	$716.66	$1,201.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $623.70 / $733.80 / $1,065.80	Professional		$623.70	$733.80	$1,065.80