Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.91 / $723.57 / $2,738.25	Professional		$425.91	$723.57	$2,738.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.76 / $1,153.61 / $1,297.20	Professional		$1,037.76	$1,153.61	$1,297.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $442.79 / $714.68 / $862.37	Professional		$442.79	$714.68	$862.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $811.00 / $1,420.49 / $9,874.90	Facility		$811.00	$1,420.49	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $539.32 / $1,087.61 / $1,805.75	Professional		$539.32	$1,087.61	$1,805.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $811.00 / $1,400.70 / $4,492.75	Facility		$811.00	$1,400.70	$4,492.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $735.93 / $1,053.85 / $1,400.70	Professional		$735.93	$1,053.85	$1,400.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.84 / $1,036.67 / $1,463.03	Professional		$516.84	$1,036.67	$1,463.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $763.30 / $966.20 / $1,136.70	Professional		$763.30	$966.20	$1,136.70