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 $550.63 / $884.23 / $949.99	Professional		$550.63	$884.23	$949.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.14 / $1,374.33 / $1,717.92	Professional		$1,151.14	$1,374.33	$1,717.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $572.69 / $893.77 / $2,164.02	Professional		$572.69	$893.77	$2,164.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $949.99 / $1,570.11 / $7,896.02	Facility		$949.99	$1,570.11	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $631.24 / $1,216.52 / $5,297.48	Professional		$631.24	$1,216.52	$5,297.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,112.83 / $1,577.33 / $3,443.06	Facility		$1,112.83	$1,577.33	$3,443.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $879.98 / $1,347.89 / $1,762.65	Professional		$879.98	$1,347.89	$1,762.65
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.80 / $925.88 / $1,793.55	Professional		$591.80	$925.88	$1,793.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $938.92 / $1,188.50 / $1,398.30	Professional		$938.92	$1,188.50	$1,398.30