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 $422.03 / $501.63 / $746.01	Professional		$422.03	$501.63	$746.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.29 / $1,087.61 / $1,359.53	Professional		$844.29	$1,087.61	$1,359.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.62 / $694.32 / $1,669.71	Professional		$436.62	$694.32	$1,669.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $746.01 / $1,167.58 / $6,267.00	Facility		$746.01	$1,167.58	$6,267.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $482.21 / $938.39 / $4,709.89	Professional		$482.21	$938.39	$4,709.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $875.48 / $1,239.38 / $2,961.89	Facility		$875.48	$1,239.38	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.38 / $1,043.63 / $1,410.00	Professional		$691.38	$1,043.63	$1,410.00
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 $460.29 / $701.39 / $1,284.19	Professional		$460.29	$701.39	$1,284.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $738.18 / $934.40 / $1,099.30	Professional		$738.18	$934.40	$1,099.30