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 / $9,028.25	Facility		$4,146.00	$5,091.00	$9,028.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.84 / $994.27 / $1,047.98	Professional		$557.84	$994.27	$1,047.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,508.34 / $1,885.42	Professional		$1,224.00	$1,508.34	$1,885.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.05 / $981.57 / $3,167.29	Professional		$616.05	$981.57	$3,167.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,008.46 / $1,636.81 / $11,139.12	Facility		$1,008.46	$1,636.81	$11,139.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $687.48 / $1,312.46 / $5,719.42	Professional		$687.48	$1,312.46	$5,719.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,225.02 / $1,760.97 / $6,616.19	Facility		$1,225.02	$1,760.97	$6,616.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $991.36 / $1,483.99 / $1,958.31	Professional		$991.36	$1,483.99	$1,958.31
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 $656.23 / $999.97 / $1,862.44	Professional		$656.23	$999.97	$1,862.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,033.72 / $1,308.50 / $1,539.40	Professional		$1,033.72	$1,308.50	$1,539.40