Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,693.00 / $5,549.00 / $7,943.37	Facility		$4,693.00	$5,549.00	$7,943.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.63 / $1,504.77 / $1,582.96	Professional		$915.63	$1,504.77	$1,582.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.00 / $2,260.94 / $2,826.19	Professional		$1,877.00	$2,260.94	$2,826.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.37 / $1,521.10 / $3,050.77	Professional		$933.37	$1,521.10	$3,050.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,582.96 / $2,466.91 / $26,829.21	Facility		$1,582.96	$2,466.91	$26,829.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,046.16 / $1,988.36 / $7,438.56	Professional		$1,046.16	$1,988.36	$7,438.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,843.60 / $2,466.55 / $26,829.21	Facility		$1,843.60	$2,466.55	$26,829.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,507.12 / $2,238.71 / $2,977.89	Professional		$1,507.12	$2,238.71	$2,977.89
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $998.60 / $1,521.68 / $2,834.13	Professional		$998.60	$1,521.68	$2,834.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,559.46 / $1,974.00 / $2,322.40	Professional		$1,559.46	$1,974.00	$2,322.40