Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $11,100.08	Facility		$3,496.00	$5,091.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.30 / $8,087.84 / $13,395.54	Professional		$625.30	$8,087.84	$13,395.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.95 / $1,521.19 / $24,081.98	Professional		$1,216.95	$1,521.19	$24,081.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $513.39 / $5,042.39 / $12,984.38	Professional		$513.39	$5,042.39	$12,984.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,328.54 / $14,409.56 / $26,539.97	Facility		$1,328.54	$14,409.56	$26,539.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,469.87 / $20,444.97 / $33,639.58	Professional		$1,469.87	$20,444.97	$33,639.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,341.39 / $10,513.62 / $24,207.96	Facility		$1,341.39	$10,513.62	$24,207.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,193.58 / $17,642.52 / $25,926.10	Professional		$1,193.58	$17,642.52	$25,926.10
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $10,771.73 / $20,799.96 / $29,221.01	Professional		$10,771.73	$20,799.96	$29,221.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,094.30 / $1,287.40 / $19,029.20	Professional		$1,094.30	$1,287.40	$19,029.20