Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $7,585.78 / $10,471.29	Facility		$426.58	$7,585.78	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,380.38 / $2,454.71	Professional		$269.15	$1,380.38	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $4,073.80	Professional		$602.56	$794.33	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,862.09 / $3,981.07	Professional		$257.04	$1,862.09	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,073.80 / $8,912.51	Facility		$660.69	$4,073.80	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $3,162.28 / $5,754.40	Professional		$724.44	$3,162.28	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $3,467.37 / $4,265.80	Professional		$660.69	$3,467.37	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $3,981.07	Professional		$562.34	$741.31	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,413.10 / $10,232.93	Facility		$4,570.88	$7,413.10	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,479.11 / $4,786.30	Professional		$323.59	$1,479.11	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $3,235.94	Professional		$549.54	$645.65	$3,235.94