Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,235.94 / $6,760.83	Facility		$977.24	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $1,479.11	Professional		$562.34	$645.65	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,819.70	Professional		$1,096.48	$1,445.44	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $2,290.87	Professional		$575.44	$870.96	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $8,912.51	Facility		$794.33	$1,584.89	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,202.26 / $4,570.88	Professional		$602.56	$1,202.26	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,659.59	Professional		$1,202.26	$1,380.38	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $1,659.59	Professional		$1,174.90	$1,202.26	$1,659.59
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 $588.84 / $870.96 / $1,698.24	Professional		$588.84	$870.96	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,445.44	Professional		$954.99	$1,230.27	$1,445.44