Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,370.32 / $7,943.28	Facility		$1,258.93	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,862.09	Professional		$691.83	$831.76	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,344.23	Professional		$1,318.26	$1,862.09	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $2,137.96	Professional		$645.65	$1,071.52	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $8,128.31	Facility		$1,023.29	$1,949.84	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,445.44 / $5,888.44	Professional		$758.58	$1,445.44	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $2,187.76	Professional		$1,445.44	$1,737.80	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $2,187.76	Professional		$1,318.26	$1,412.54	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,089.30	Professional		$724.44	$1,096.48	$2,089.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,819.70	Professional		$1,230.27	$1,548.82	$1,819.70