Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.95 / $1,079.23 / $1,136.33	Professional		$657.95	$1,079.23	$1,136.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.00 / $1,632.99 / $2,041.24	Professional		$1,312.00	$1,632.99	$2,041.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $668.33 / $1,065.35 / $2,198.03	Professional		$668.33	$1,065.35	$2,198.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,027.58 / $1,773.63 / $7,896.02	Facility		$1,027.58	$1,773.63	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $746.72 / $1,467.18 / $5,349.76	Professional		$746.72	$1,467.18	$5,349.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,312.00 / $1,773.63 / $2,961.89	Facility		$1,312.00	$1,773.63	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,075.59 / $1,608.44 / $2,125.77	Professional		$1,075.59	$1,608.44	$2,125.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,405.00 / $9,874.90	Facility		$4,700.00	$7,405.00	$9,874.90
United Facility/Professional Professional Modifier Low / Median / High Price $712.78 / $1,086.14 / $2,022.94	Professional		$712.78	$1,086.14	$2,022.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,120.46 / $1,418.30 / $1,668.60	Professional		$1,120.46	$1,418.30	$1,668.60