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 $675.34 / $1,110.82 / $1,166.55	Professional		$675.34	$1,110.82	$1,166.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.50 / $1,675.84 / $2,094.81	Professional		$1,430.50	$1,675.84	$2,094.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $701.84 / $1,095.81 / $2,368.33	Professional		$701.84	$1,095.81	$2,368.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,166.55 / $1,946.95 / $20,063.05	Facility		$1,166.55	$1,946.95	$20,063.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $777.69 / $1,519.34 / $6,188.07	Professional		$777.69	$1,519.34	$6,188.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,362.34 / $1,958.44 / $14,713.00	Facility		$1,362.34	$1,958.44	$14,713.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,108.26 / $1,671.92 / $2,186.78	Professional		$1,108.26	$1,671.92	$2,186.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $16,348.85 / $33,044.01	Facility		$7,221.00	$16,348.85	$33,044.01
United Facility/Professional Professional Modifier Low / Median / High Price $732.11 / $1,115.59 / $2,091.75	Professional		$732.11	$1,115.59	$2,091.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,151.34 / $1,457.40 / $1,714.60	Professional		$1,151.34	$1,457.40	$1,714.60