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 $398.03 / $706.50 / $850.08	Professional		$398.03	$706.50	$850.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.71 / $1,132.03 / $1,415.04	Professional		$756.71	$1,132.03	$1,415.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $476.64 / $693.67 / $1,401.16	Professional		$476.64	$693.67	$1,401.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $599.89 / $1,089.73 / $5,015.03	Facility		$599.89	$1,089.73	$5,015.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.68 / $937.16 / $3,726.96	Professional		$477.68	$937.16	$3,726.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $857.72 / $1,211.99 / $1,750.65	Facility		$857.72	$1,211.99	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $994.75 / $1,400.36	Professional		$610.00	$994.75	$1,400.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,679.00 / $4,878.97 / $6,267.00	Facility		$2,679.00	$4,878.97	$6,267.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.30 / $727.89 / $1,364.79	Professional		$475.30	$727.89	$1,364.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $807.62 / $1,022.30 / $1,202.70	Professional		$807.62	$1,022.30	$1,202.70