Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $473.12 / $714.02	Professional		$283.27	$473.12	$714.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.46 / $884.28 / $1,293.31	Professional		$588.46	$884.28	$1,293.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.27 / $591.45 / $915.92	Professional		$309.27	$591.45	$915.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $488.60 / $803.47 / $3,894.74	Facility		$488.60	$803.47	$3,894.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.25 / $893.75 / $2,983.83	Professional		$477.25	$893.75	$2,983.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $454.92 / $769.84 / $1,195.29	Facility		$454.92	$769.84	$1,195.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $612.04 / $849.00 / $1,202.19	Professional		$612.04	$849.00	$1,202.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.55 / $714.98 / $1,339.60	Professional		$455.55	$714.98	$1,339.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $597.50 / $702.90 / $1,011.70	Professional		$597.50	$702.90	$1,011.70