Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,981.07 / $6,760.83	Facility		$1,348.96	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,348.96	Professional		$758.58	$891.25	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,570.40	Professional		$1,513.56	$2,041.74	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,778.28	Professional		$338.84	$562.34	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,090.30 / $10,232.93	Facility		$1,071.52	$3,090.30	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,630.27	Professional		$954.99	$1,445.44	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,344.23	Professional		$1,513.56	$1,778.28	$2,344.23
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 $912.01 / $1,288.25 / $2,511.89	Professional		$912.01	$1,288.25	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,174.90	Professional		$776.25	$1,000.00	$1,174.90