Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.09 / $1,080.69 / $1,156.49	Professional		$660.09	$1,080.69	$1,156.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.44 / $1,659.48 / $2,074.35	Professional		$1,296.44	$1,659.48	$2,074.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $681.01 / $1,086.44 / $2,237.76	Professional		$681.01	$1,086.44	$2,237.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $992.69 / $1,658.21 / $8,604.00	Facility		$992.69	$1,658.21	$8,604.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $760.78 / $1,483.53 / $5,440.00	Professional		$760.78	$1,483.53	$5,440.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $1,637.55 / $2,168.84	Facility		$1,301.00	$1,637.55	$2,168.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,082.40 / $1,637.55 / $2,168.84	Professional		$1,082.40	$1,637.55	$2,168.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $726.20 / $1,106.58 / $2,010.15	Professional		$726.20	$1,106.58	$2,010.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,140.68 / $1,443.90 / $1,698.80	Professional		$1,140.68	$1,443.90	$1,698.80