Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,570.88 / $7,079.46	Facility		$776.25	$4,570.88	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,230.27	Professional		$457.09	$660.69	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,445.44 / $1,949.84	Professional		$870.96	$1,445.44	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,905.46	Professional		$489.78	$812.83	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,445.44 / $7,413.10	Facility		$776.25	$1,445.44	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,318.26 / $3,981.07	Professional		$707.95	$1,318.26	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,737.80	Professional		$1,174.90	$1,412.54	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,737.80	Professional		$954.99	$1,288.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $8,912.51	Facility		$4,365.16	$6,606.93	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,659.59	Professional		$524.81	$851.14	$1,659.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,479.11	Professional		$954.99	$1,122.02	$1,479.11