Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,786.30 / $11,220.18	Facility		$870.96	$4,786.30	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,819.70	Professional		$489.78	$616.60	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,621.81	Professional		$1,000.00	$1,288.25	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,698.24	Professional		$467.74	$776.25	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,445.44 / $8,317.64	Facility		$758.58	$1,445.44	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $9,772.37	Professional		$549.54	$1,047.13	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,513.56	Professional		$1,023.29	$1,258.93	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,513.56	Professional		$1,023.29	$1,047.13	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,479.11	Professional		$524.81	$776.25	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,288.25	Professional		$870.96	$1,096.48	$1,288.25