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 $571.32 / $694.12 / $1,038.49	Professional		$571.32	$694.12	$1,038.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.14 / $1,500.55 / $1,875.68	Professional		$1,170.14	$1,500.55	$1,875.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $611.26 / $940.19 / $2,004.71	Professional		$611.26	$940.19	$2,004.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $836.26 / $1,513.98 / $5,341.00	Facility		$836.26	$1,513.98	$5,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $679.54 / $1,274.26 / $4,895.60	Professional		$679.54	$1,274.26	$4,895.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $1,474.52 / $1,936.23	Facility		$1,098.00	$1,474.52	$1,936.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $974.28 / $1,474.52 / $1,936.23	Professional		$974.28	$1,474.52	$1,936.23
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 $647.64 / $988.42 / $1,840.92	Professional		$647.64	$988.42	$1,840.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,027.16 / $1,300.20 / $1,529.60	Professional		$1,027.16	$1,300.20	$1,529.60