Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.28 / $588.47 / $825.49	Professional		$374.28	$588.47	$825.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.17 / $1,003.09 / $1,410.17	Professional		$500.17	$1,003.09	$1,410.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $321.50 / $613.54 / $1,015.33	Professional		$321.50	$613.54	$1,015.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.47 / $994.51 / $7,273.98	Facility		$588.47	$994.51	$7,273.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $554.98 / $915.48 / $3,112.00	Professional		$554.98	$915.48	$3,112.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $773.64 / $1,111.41 / $2,571.84	Facility		$773.64	$1,111.41	$2,571.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $697.33 / $946.82 / $1,323.49	Professional		$697.33	$946.82	$1,323.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.60 / $693.72 / $1,505.51	Professional		$485.60	$693.72	$1,505.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $682.20 / $802.60 / $1,110.59	Professional		$682.20	$802.60	$1,110.59