Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.66 / $1,555.53 / $1,619.90	Professional		$940.66	$1,555.53	$1,619.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,903.00 / $2,324.06 / $2,905.07	Professional		$1,903.00	$2,324.06	$2,905.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $939.61 / $1,573.53 / $6,051.22	Professional		$939.61	$1,573.53	$6,051.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,619.90 / $2,520.75 / $11,869.99	Facility		$1,619.90	$2,520.75	$11,869.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,079.76 / $2,054.30 / $11,315.02	Professional		$1,079.76	$2,054.30	$11,315.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,890.34 / $2,508.05 / $5,383.60	Facility		$1,890.34	$2,508.05	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,573.15 / $2,219.78 / $3,107.81	Professional		$1,573.15	$2,219.78	$3,107.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,030.68 / $1,570.56 / $2,925.17	Professional		$1,030.68	$1,570.56	$2,925.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,546.27 / $1,957.30 / $2,302.80	Professional		$1,546.27	$1,957.30	$2,302.80