Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.90 / $677.40 / $2,533.08	Professional		$432.90	$677.40	$2,533.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.59 / $1,186.97 / $1,258.64	Professional		$999.59	$1,186.97	$1,258.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $448.42 / $704.55 / $1,061.17	Professional		$448.42	$704.55	$1,061.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,043.20 / $1,258.64 / $6,608.00	Facility		$1,043.20	$1,258.64	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.21 / $1,150.40 / $4,018.60	Professional		$602.21	$1,150.40	$4,018.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $749.69 / $1,126.28 / $1,456.62	Facility		$749.69	$1,126.28	$1,456.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $749.69 / $1,151.51 / $1,460.99	Professional		$749.69	$1,151.51	$1,460.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.04 / $981.80 / $1,575.62	Professional		$541.04	$981.80	$1,575.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $710.29 / $899.10 / $1,057.80	Professional		$710.29	$899.10	$1,057.80