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 $440.93 / $725.83 / $755.15	Professional		$440.93	$725.83	$755.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.75 / $1,086.77 / $1,355.63	Professional		$893.75	$1,086.77	$1,355.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $437.69 / $680.09 / $1,188.33	Professional		$437.69	$680.09	$1,188.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $725.95 / $1,185.58 / $4,873.45	Facility		$725.95	$1,185.58	$4,873.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $509.85 / $1,005.80 / $3,569.61	Professional		$509.85	$1,005.80	$3,569.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $917.00 / $1,185.58 / $1,597.29	Facility		$917.00	$1,185.58	$1,597.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $766.21 / $1,036.36 / $1,432.86	Professional		$766.21	$1,036.36	$1,432.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,200.82 / $5,854.53 / $7,407.10	Facility		$3,200.82	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $486.68 / $741.60 / $1,479.16	Professional		$486.68	$741.60	$1,479.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $721.98 / $913.90 / $1,075.09	Professional		$721.98	$913.90	$1,075.09