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 $646.53 / $999.23 / $1,355.17	Professional		$646.53	$999.23	$1,355.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.00 / $1,939.18 / $2,423.96	Professional		$1,313.00	$1,939.18	$2,423.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $765.51 / $1,214.04 / $2,616.46	Professional		$765.51	$1,214.04	$2,616.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.02 / $1,901.64 / $7,896.02	Facility		$1,148.02	$1,901.64	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $816.38 / $1,628.17 / $6,315.12	Professional		$816.38	$1,628.17	$6,315.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $2,050.54 / $2,961.89	Facility		$1,313.00	$2,050.54	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,041.40 / $1,683.31 / $2,368.78	Professional		$1,041.40	$1,683.31	$2,368.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.30 / $1,244.00 / $2,295.05	Professional		$815.30	$1,244.00	$2,295.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,303.97 / $1,650.60 / $1,941.90	Professional		$1,303.97	$1,650.60	$1,941.90