Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.20 / $1,278.61 / $1,446.32	Professional		$809.20	$1,278.61	$1,446.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,638.24 / $2,027.63 / $2,473.64	Professional		$1,638.24	$2,027.63	$2,473.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $854.67 / $1,348.59 / $2,694.63	Professional		$854.67	$1,348.59	$2,694.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,278.61 / $2,000.56 / $3,396.00	Facility		$1,278.61	$2,000.56	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $951.27 / $1,781.47 / $9,880.20	Professional		$951.27	$1,781.47	$9,880.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,563.00 / $2,027.63 / $2,675.81	Facility		$1,563.00	$2,027.63	$2,675.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,297.22 / $2,027.63 / $2,675.81	Professional		$1,297.22	$2,027.63	$2,675.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $917.10 / $1,383.66 / $2,541.27	Professional		$917.10	$1,383.66	$2,541.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,412.44 / $1,787.90 / $2,103.40	Professional		$1,412.44	$1,787.90	$2,103.40