Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,786.30 / $7,079.46	Facility		$1,584.89	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $2,691.53	Professional		$831.76	$1,096.48	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,511.89 / $3,090.30	Professional		$2,454.71	$2,511.89	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $4,570.88	Professional		$977.24	$1,479.11	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $10,232.93	Facility		$1,548.82	$3,388.44	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $3,162.28	Professional		$1,071.52	$1,698.24	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $2,951.21	Professional		$1,949.84	$2,570.40	$2,951.21
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 $1,023.29 / $1,445.44 / $2,818.38	Professional		$1,023.29	$1,445.44	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,238.72	Professional		$1,513.56	$1,905.46	$2,238.72