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 $310.49 / $478.87 / $641.21	Professional		$310.49	$478.87	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.00 / $794.22 / $969.98	Professional		$679.00	$794.22	$969.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $314.77 / $495.82 / $1,313.98	Professional		$314.77	$495.82	$1,313.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.87 / $855.25 / $5,015.03	Facility		$478.87	$855.25	$5,015.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.17 / $740.65 / $3,232.86	Professional		$388.17	$740.65	$3,232.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $679.00 / $871.77 / $1,750.65	Facility		$679.00	$871.77	$1,750.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $529.00 / $794.22 / $1,011.54	Professional		$529.00	$794.22	$1,011.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.42 / $540.05 / $1,087.72	Professional		$354.42	$540.05	$1,087.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $517.13 / $654.60 / $770.10	Professional		$517.13	$654.60	$770.10