Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.32 / $964.60 / $1,029.11	Professional		$592.32	$964.60	$1,029.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.00 / $1,484.96 / $1,856.21	Professional		$1,165.00	$1,484.96	$1,856.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $605.41 / $964.74 / $1,987.50	Professional		$605.41	$964.74	$1,987.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $997.20 / $1,607.61 / $11,139.12	Facility		$997.20	$1,607.61	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $673.46 / $1,265.38 / $4,849.28	Professional		$673.46	$1,265.38	$4,849.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $1,607.61 / $10,147.74	Facility		$1,165.00	$1,607.61	$10,147.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $968.60 / $1,459.96 / $1,913.30	Professional		$968.60	$1,459.96	$1,913.30
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 $642.85 / $979.58 / $1,824.48	Professional		$642.85	$979.58	$1,824.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,017.05 / $1,287.40 / $1,514.50	Professional		$1,017.05	$1,287.40	$1,514.50