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 $486.03 / $834.14 / $840.67	Professional		$486.03	$834.14	$840.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.00 / $1,215.04 / $1,516.32	Professional		$1,010.00	$1,215.04	$1,516.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $506.25 / $800.66 / $1,802.12	Professional		$506.25	$800.66	$1,802.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $766.46 / $1,356.00 / $7,896.02	Facility		$766.46	$1,356.00	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $571.35 / $1,095.47 / $3,958.72	Professional		$571.35	$1,095.47	$3,958.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $1,316.00 / $2,961.89	Facility		$1,010.00	$1,316.00	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $837.44 / $1,201.58 / $1,618.90	Professional		$837.44	$1,201.58	$1,618.90
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 $545.38 / $831.06 / $1,690.84	Professional		$545.38	$831.06	$1,690.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $837.01 / $1,059.50 / $1,246.50	Professional		$837.01	$1,059.50	$1,246.50