Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $579.54 / $867.87	Professional		$335.80	$579.54	$867.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.48 / $1,157.94 / $1,778.30	Professional		$734.48	$1,157.94	$1,778.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $401.63 / $838.41 / $1,331.49	Professional		$401.63	$838.41	$1,331.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $579.54 / $1,000.00 / $4,910.83	Facility		$579.54	$1,000.00	$4,910.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $590.41 / $1,064.45 / $4,316.14	Professional		$590.41	$1,064.45	$4,316.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $838.82 / $1,252.84 / $2,197.38	Facility		$838.82	$1,252.84	$2,197.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.23 / $1,064.45 / $1,513.08	Professional		$776.23	$1,064.45	$1,513.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.99 / $822.22 / $1,531.39	Professional		$539.99	$822.22	$1,531.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $795.80 / $936.20 / $1,405.80	Professional		$795.80	$936.20	$1,405.80