Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,012.00 / $6,298.62 / $10,255.42	Facility		$5,012.00	$6,298.62	$10,255.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.52 / $1,809.72 / $1,881.89	Professional		$1,057.52	$1,809.72	$1,881.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.86 / $2,343.09 / $3,092.62	Professional		$1,969.86	$2,343.09	$3,092.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $780.92 / $1,409.67 / $4,779.76	Professional		$780.92	$1,409.67	$4,779.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,486.79 / $2,729.40 / $8,523.00	Facility		$1,486.79	$2,729.40	$8,523.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,067.53 / $1,889.92 / $5,451.62	Professional		$1,067.53	$1,889.92	$5,451.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,830.00 / $2,643.35 / $3,199.74	Facility		$1,830.00	$2,643.35	$3,199.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,522.00 / $2,270.63 / $3,246.68	Professional		$1,522.00	$2,270.63	$3,246.68
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 $997.39 / $1,450.75 / $2,819.94	Professional		$997.39	$1,450.75	$2,819.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $742.44 / $939.80 / $939.80	Professional		$742.44	$939.80	$939.80