Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.70 / $2,006.84 / $3,746.08	Professional		$410.70	$2,006.84	$3,746.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.65 / $1,504.46 / $6,024.39	Professional		$679.65	$1,504.46	$6,024.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $419.52 / $1,894.31 / $8,853.75	Professional		$419.52	$1,894.31	$8,853.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $962.87 / $4,424.27 / $10,331.34	Facility		$962.87	$4,424.27	$10,331.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,335.88 / $3,975.90 / $7,841.21	Professional		$1,335.88	$3,975.90	$7,841.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,025.07 / $3,970.37 / $5,962.02	Facility		$1,025.07	$3,970.37	$5,962.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $962.87 / $3,582.96 / $6,385.89	Professional		$962.87	$3,582.96	$6,385.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,060.00 / $11,869.99	Facility		$7,221.00	$8,060.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,409.25 / $3,550.08 / $6,789.69	Professional		$2,409.25	$3,550.08	$6,789.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $834.10 / $981.30 / $4,508.80	Professional		$834.10	$981.30	$4,508.80