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 $371.88 / $634.17 / $634.17	Professional		$371.88	$634.17	$634.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.84 / $1,007.19 / $1,107.30	Professional		$885.84	$1,007.19	$1,107.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $406.43 / $631.58 / $1,502.72	Professional		$406.43	$631.58	$1,502.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $634.17 / $1,106.66 / $7,305.00	Facility		$634.17	$1,106.66	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.88 / $983.90 / $1,517.74	Professional		$487.88	$983.90	$1,517.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $716.48 / $959.97 / $1,316.06	Facility		$716.48	$959.97	$1,316.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $716.48 / $1,007.19 / $1,316.06	Professional		$716.48	$1,007.19	$1,316.06
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 $467.56 / $837.53 / $1,323.51	Professional		$467.56	$837.53	$1,323.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $662.57 / $838.70 / $986.70	Professional		$662.57	$838.70	$986.70