Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,981.07 / $6,760.83	Facility		$758.58	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $954.99	Professional		$389.05	$489.78	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,412.54	Professional		$851.14	$1,122.02	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,659.59	Professional		$398.11	$660.69	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,905.46	Facility		$588.84	$1,047.13	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $891.25 / $3,548.13	Professional		$467.74	$891.25	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,288.25	Professional		$870.96	$1,047.13	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $891.25 / $1,288.25	Professional		$870.96	$891.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $2,398.83	Facility		$1,148.15	$1,819.70	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,258.93	Professional		$436.52	$660.69	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,096.48	Professional		$741.31	$933.25	$1,096.48