Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $738.05 / $1,183.64	Professional		$433.84	$738.05	$1,183.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.18 / $1,328.37 / $2,017.66	Professional		$810.18	$1,328.37	$2,017.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $893.67 / $2,583.78	Professional		$393.93	$893.67	$2,583.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $711.32 / $1,214.51 / $6,848.56	Facility		$711.32	$1,214.51	$6,848.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $695.77 / $1,255.04 / $4,911.00	Professional		$695.77	$1,255.04	$4,911.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $915.28 / $1,484.63 / $6,848.56	Facility		$915.28	$1,484.63	$6,848.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $866.12 / $1,189.48 / $1,925.77	Professional		$866.12	$1,189.48	$1,925.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.77 / $1,060.22 / $2,098.51	Professional		$695.77	$1,060.22	$2,098.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $868.90 / $1,022.30 / $1,619.50	Professional		$868.90	$1,022.30	$1,619.50