Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.80 / $1,695.20 / $4,014.00	Professional		$903.80	$1,695.20	$4,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,070.92 / $2,214.98 / $2,768.73	Professional		$1,070.92	$2,214.98	$2,768.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.02 / $1,198.23 / $2,576.02	Professional		$851.02	$1,198.23	$2,576.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,321.36 / $2,546.36 / $9,874.90	Facility		$1,321.36	$2,546.36	$9,874.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $958.58 / $1,643.62 / $2,981.46	Professional		$958.58	$1,643.62	$2,981.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,330.00 / $2,389.64 / $3,123.31	Facility		$1,330.00	$2,389.64	$3,123.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,292.24 / $1,884.42 / $2,586.92	Professional		$1,292.24	$1,884.42	$2,586.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,799.00 / $9,874.90	Facility		$4,700.00	$7,799.00	$9,874.90
United Facility/Professional Professional Modifier Low / Median / High Price $901.55 / $1,373.79 / $2,538.37	Professional		$901.55	$1,373.79	$2,538.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,421.92 / $1,969.30 / $2,117.60	Professional		$1,421.92	$1,969.30	$2,117.60