Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.13 / $1,008.27 / $1,062.66	Professional		$594.13	$1,008.27	$1,062.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,532.49 / $1,915.61	Professional		$1,188.00	$1,532.49	$1,915.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $624.57 / $994.85 / $1,851.86	Professional		$624.57	$994.85	$1,851.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $970.20 / $1,583.81 / $8,332.67	Facility		$970.20	$1,583.81	$8,332.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $696.48 / $1,304.31 / $5,271.98	Professional		$696.48	$1,304.31	$5,271.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,188.00 / $1,660.37 / $2,961.89	Facility		$1,188.00	$1,660.37	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,005.11 / $1,377.63 / $1,985.41	Professional		$1,005.11	$1,377.63	$1,985.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $664.82 / $1,013.06 / $1,886.82	Professional		$664.82	$1,013.06	$1,886.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,048.96 / $1,327.80 / $1,562.10	Professional		$1,048.96	$1,327.80	$1,562.10