Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,981.07 / $6,760.83	Facility		$1,096.48	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,778.28	Professional		$645.65	$741.31	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,041.74	Professional		$1,230.27	$1,621.81	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $2,238.72	Professional		$602.56	$977.24	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,778.28 / $17,782.79	Facility		$954.99	$1,778.28	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $5,248.07	Professional		$691.83	$1,348.96	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,905.46	Professional		$1,318.26	$1,584.89	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,905.46	Professional		$1,230.27	$1,348.96	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $19,498.45	Facility		$5,495.41	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,905.46	Professional		$660.69	$1,000.00	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,621.81	Professional		$1,096.48	$1,380.38	$1,621.81