Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,091.00 / $7,090.00 / $11,611.47	Facility		$5,091.00	$7,090.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.44 / $1,414.58 / $1,529.12	Professional		$884.44	$1,414.58	$1,529.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,815.00 / $2,183.04 / $2,728.80	Professional		$1,815.00	$2,183.04	$2,728.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $901.18 / $1,436.30 / $3,706.21	Professional		$901.18	$1,436.30	$3,706.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,529.12 / $2,424.64 / $11,139.12	Facility		$1,529.12	$2,424.64	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,009.73 / $1,948.00 / $7,220.28	Professional		$1,009.73	$1,948.00	$7,220.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,815.00 / $2,382.37 / $6,616.19	Facility		$1,815.00	$2,382.37	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,420.37 / $2,159.37 / $2,855.94	Professional		$1,420.37	$2,159.37	$2,855.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $963.84 / $1,468.70 / $2,739.71	Professional		$963.84	$1,468.70	$2,739.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,504.24 / $1,904.10 / $2,240.10	Professional		$1,504.24	$1,904.10	$2,240.10