Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $5,549.00 / $11,100.08	Facility		$603.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.02 / $1,273.72 / $1,273.72	Professional		$754.02	$1,273.72	$1,273.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.82 / $1,111.69 / $1,673.53	Professional		$872.82	$1,111.69	$1,673.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $529.22 / $1,599.83	Professional		$132.91	$529.22	$1,599.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $480.64 / $885.32 / $2,126.00	Facility		$480.64	$885.32	$2,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.38 / $703.53 / $1,979.52	Professional		$386.38	$703.53	$1,979.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $431.49 / $872.82 / $1,979.52	Facility		$431.49	$872.82	$1,979.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $528.05 / $1,111.69 / $1,979.52	Professional		$528.05	$1,111.69	$1,979.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.60 / $631.48 / $1,187.57	Professional		$308.60	$631.48	$1,187.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $441.77 / $559.20 / $657.80	Professional		$441.77	$559.20	$657.80