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 $499.62 / $814.36 / $884.37	Professional		$499.62	$814.36	$884.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.29 / $1,295.64 / $1,619.55	Professional		$1,005.29	$1,295.64	$1,619.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $519.13 / $797.03 / $1,776.25	Professional		$519.13	$797.03	$1,776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $625.79 / $1,313.19 / $4,645.00	Facility		$625.79	$1,313.19	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $571.32 / $1,069.92 / $4,185.35	Professional		$571.32	$1,069.92	$4,185.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,040.67 / $1,349.65 / $1,676.58	Facility		$1,040.67	$1,349.65	$1,676.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $823.74 / $1,245.07 / $1,552.21	Professional		$823.74	$1,245.07	$1,552.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,101.36 / $3,894.74 / $6,267.00	Facility		$2,101.36	$3,894.74	$6,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.35 / $831.01 / $1,547.75	Professional		$545.35	$831.01	$1,547.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $878.64 / $1,112.20 / $1,308.40	Professional		$878.64	$1,112.20	$1,308.40