Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,370.32 / $7,943.28	Facility		$1,148.15	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,995.26	Professional		$676.08	$977.24	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,041.74	Professional		$1,659.59	$1,819.70	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $2,818.38	Professional		$741.31	$1,148.15	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,995.26 / $7,244.36	Facility		$933.25	$1,995.26	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,659.59 / $2,754.23	Professional		$891.25	$1,659.59	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,818.38	Professional		$1,202.26	$1,819.70	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,454.71	Professional		$851.14	$1,288.25	$2,454.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,778.28	Professional		$1,202.26	$1,513.56	$1,778.28