Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $6,760.83	Facility		$1,949.84	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $3,162.28	Professional		$1,096.48	$1,318.26	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,884.03 / $3,548.13	Professional		$1,230.27	$2,884.03	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,513.56 / $4,570.88	Professional		$630.96	$1,513.56	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $9,549.93	Facility		$954.99	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,949.84 / $9,332.54	Professional		$812.83	$1,949.84	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,754.23 / $3,388.44	Professional		$1,230.27	$2,754.23	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $2,511.89	Professional		$1,148.15	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,621.81 / $3,388.44	Professional		$758.58	$1,621.81	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,884.03	Professional		$1,949.84	$2,454.71	$2,884.03