Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,011.87 / $14,125.38	Facility		$1,737.80	$5,011.87	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $4,570.88	Professional		$1,000.00	$1,412.54	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,162.28	Professional		$1,995.26	$2,570.40	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $5,011.87	Professional		$1,023.29	$1,548.82	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,951.21 / $31,622.78	Facility		$1,445.44	$2,951.21	$31,622.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $8,128.31	Professional		$1,096.48	$2,137.96	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $2,951.21	Professional		$2,187.76	$2,511.89	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,951.21	Professional		$2,089.30	$2,137.96	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,748.98 / $34,673.69	Facility		$7,413.10	$11,748.98	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $3,019.95	Professional		$1,047.13	$1,548.82	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,570.40	Professional		$1,698.24	$2,187.76	$2,570.40