Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.72 / $466.61 / $3,070.07	Professional		$192.72	$466.61	$3,070.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.69 / $921.29 / $6,076.98	Professional		$380.69	$921.29	$6,076.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $301.94 / $570.78 / $3,006.27	Professional		$301.94	$570.78	$3,006.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.50 / $719.74 / $10,949.54	Facility		$291.50	$719.74	$10,949.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.43 / $2,531.00 / $7,877.88	Professional		$283.43	$2,531.00	$7,877.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $626.04 / $3,944.26 / $10,559.08	Facility		$626.04	$3,944.26	$10,559.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $805.48 / $5,188.85	Professional		$304.00	$805.48	$5,188.85
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,259.00 / $14,242.22	Facility		$8,220.00	$9,259.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $306.02 / $2,465.54 / $5,692.25	Professional		$306.02	$2,465.54	$5,692.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $629.60 / $740.70 / $4,640.20	Professional		$629.60	$740.70	$4,640.20