Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $754.11 / $943.09	Professional		$461.36	$754.11	$943.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.00 / $1,288.94 / $1,598.52	Professional		$869.00	$1,288.94	$1,598.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $425.10 / $774.41 / $1,793.79	Professional		$425.10	$774.41	$1,793.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $647.08 / $1,142.84 / $1,619.27	Facility		$647.08	$1,142.84	$1,619.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $599.51 / $1,182.67 / $3,575.68	Professional		$599.51	$1,182.67	$3,575.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $470.93 / $1,070.83 / $1,512.11	Facility		$470.93	$1,070.83	$1,512.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $1,214.66 / $1,598.52	Professional		$795.00	$1,214.66	$1,598.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.26 / $872.02 / $1,624.13	Professional		$572.26	$872.02	$1,624.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $897.84 / $1,091.00 / $1,337.10	Professional		$897.84	$1,091.00	$1,337.10