Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.94 / $1,544.71 / $1,570.23	Professional		$899.94	$1,544.71	$1,570.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,977.44 / $2,250.62 / $2,729.85	Professional		$1,977.44	$2,250.62	$2,729.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $946.67 / $1,532.90 / $4,917.78	Professional		$946.67	$1,532.90	$4,917.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,570.23 / $2,381.42 / $8,689.00	Facility		$1,570.23	$2,381.42	$8,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,108.28 / $2,086.56 / $11,477.92	Professional		$1,108.28	$2,086.56	$11,477.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,811.05 / $2,297.60 / $3,005.09	Facility		$1,811.05	$2,297.60	$3,005.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,526.28 / $2,250.62 / $3,005.09	Professional		$1,526.28	$2,250.62	$3,005.09
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.67 / $1,576.94 / $2,924.13	Professional		$1,020.67	$1,576.94	$2,924.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,557.96 / $1,972.10 / $2,320.10	Professional		$1,557.96	$1,972.10	$2,320.10