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 $545.36 / $877.57 / $941.17	Professional		$545.36	$877.57	$941.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,358.75 / $1,698.44	Professional		$1,120.00	$1,358.75	$1,698.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $552.91 / $880.64 / $1,818.01	Professional		$552.91	$880.64	$1,818.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $941.17 / $1,470.61 / $11,139.12	Facility		$941.17	$1,470.61	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $615.54 / $1,207.04 / $4,436.08	Professional		$615.54	$1,207.04	$4,436.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,101.05 / $1,470.61 / $6,616.19	Facility		$1,101.05	$1,470.61	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $876.86 / $1,334.05 / $1,751.75	Professional		$876.86	$1,334.05	$1,751.75
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 $586.96 / $895.34 / $1,667.58	Professional		$586.96	$895.34	$1,667.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $929.28 / $1,176.30 / $1,383.90	Professional		$929.28	$1,176.30	$1,383.90