Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $6,298.62 / $12,885.00	Facility		$3,496.00	$6,298.62	$12,885.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.99 / $427.97 / $427.97	Professional		$298.99	$427.97	$427.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.13 / $679.28 / $748.91	Professional		$599.13	$679.28	$748.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.73 / $428.07 / $1,057.28	Professional		$274.73	$428.07	$1,057.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.97 / $679.28 / $7,123.00	Facility		$346.97	$679.28	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.27 / $645.90 / $1,049.50	Professional		$320.27	$645.90	$1,049.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $470.98 / $639.94 / $889.54	Facility		$470.98	$639.94	$889.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $470.98 / $679.28 / $889.54	Professional		$470.98	$679.28	$889.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.27 / $549.80 / $883.44	Professional		$320.27	$549.80	$883.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $448.56 / $567.79 / $668.00	Professional		$448.56	$567.79	$668.00