Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $6,760.83	Facility		$1,148.15	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,089.30	Professional		$724.44	$933.25	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $2,344.23	Professional		$1,148.15	$1,862.09	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,096.48 / $2,137.96	Professional		$575.44	$1,096.48	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $5,888.44	Facility		$1,096.48	$1,862.09	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $6,456.54	Professional		$691.83	$1,348.96	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $2,290.87	Professional		$1,230.27	$1,819.70	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,041.74	Professional		$1,000.00	$1,288.25	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $6,456.54	Facility		$2,818.38	$5,011.87	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,187.76	Professional		$691.83	$1,047.13	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,995.26	Professional		$1,318.26	$1,659.59	$1,995.26