Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,090.30 / $6,760.83	Facility		$1,258.93	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,949.84	Professional		$691.83	$954.99	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,905.46 / $2,818.38	Professional		$912.01	$1,905.46	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,047.13 / $1,412.54	Professional		$489.78	$1,047.13	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,737.80 / $4,677.35	Facility		$691.83	$1,737.80	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,548.82 / $5,754.40	Professional		$707.95	$1,548.82	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $2,344.23	Professional		$1,096.48	$1,905.46	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,137.96	Professional		$1,122.02	$1,380.38	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $2,187.76	Professional		$645.65	$1,023.29	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $2,137.96	Professional		$1,445.44	$1,737.80	$2,137.96