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 $649.90 / $1,099.40 / $1,155.95	Professional		$649.90	$1,099.40	$1,155.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.43 / $1,668.05 / $2,085.07	Professional		$1,301.43	$1,668.05	$2,085.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $680.07 / $1,083.47 / $2,482.30	Professional		$680.07	$1,083.47	$2,482.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $976.94 / $1,791.72 / $8,332.67	Facility		$976.94	$1,791.72	$8,332.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $757.69 / $1,433.40 / $5,449.12	Professional		$757.69	$1,433.40	$5,449.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,352.27 / $1,908.37 / $2,961.89	Facility		$1,352.27	$1,908.37	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,095.90 / $1,639.73 / $2,160.87	Professional		$1,095.90	$1,639.73	$2,160.87
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 $722.40 / $1,102.09 / $2,052.65	Professional		$722.40	$1,102.09	$2,052.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,142.26 / $1,445.90 / $1,701.00	Professional		$1,142.26	$1,445.90	$1,701.00