Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $5,091.00 / $7,120.36	Facility		$4,146.00	$5,091.00	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.02 / $988.06 / $1,138.57	Professional		$634.02	$988.06	$1,138.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.63 / $1,586.25 / $1,982.81	Professional		$1,286.63	$1,586.25	$1,982.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $647.54 / $1,032.02 / $2,141.66	Professional		$647.54	$1,032.02	$2,141.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $911.66 / $1,684.09 / $7,896.02	Facility		$911.66	$1,684.09	$7,896.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.91 / $1,354.12 / $5,185.35	Professional		$720.91	$1,354.12	$5,185.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,719.09 / $2,961.89	Facility		$1,285.00	$1,719.09	$2,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,048.58 / $1,560.40 / $2,053.57	Professional		$1,048.58	$1,560.40	$2,053.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $687.66 / $1,048.58 / $1,966.11	Professional		$687.66	$1,048.58	$1,966.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,086.96 / $1,375.90 / $1,618.70	Professional		$1,086.96	$1,375.90	$1,618.70