Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.42 / $1,286.05 / $1,357.47	Professional		$772.42	$1,286.05	$1,357.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.16 / $1,957.88 / $2,447.35	Professional		$1,527.16	$1,957.88	$2,447.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $797.69 / $1,225.95 / $2,518.46	Professional		$797.69	$1,225.95	$2,518.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $998.33 / $2,090.50 / $6,267.00	Facility		$998.33	$2,090.50	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $890.00 / $1,677.63 / $6,793.00	Professional		$890.00	$1,677.63	$6,793.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,587.48 / $2,282.44 / $2,961.89	Facility		$1,587.48	$2,282.44	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,282.76 / $1,923.57 / $2,419.41	Professional		$1,282.76	$1,923.57	$2,419.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.56 / $1,294.54 / $2,411.09	Professional		$848.56	$1,294.54	$2,411.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,339.92 / $1,696.10 / $1,995.50	Professional		$1,339.92	$1,696.10	$1,995.50