Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,248.07 / $9,332.54	Facility		$1,737.80	$5,248.07	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $3,019.95	Professional		$933.25	$1,258.93	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $2,884.03	Professional		$1,202.26	$2,290.87	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $2,511.89	Professional		$707.95	$1,230.27	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $7,079.46	Facility		$1,412.54	$2,691.53	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $7,413.10	Professional		$1,000.00	$1,698.24	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,630.27	Professional		$1,479.11	$2,041.74	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,888.44 / $7,762.47	Facility		$3,467.37	$5,888.44	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,511.89	Professional		$933.25	$1,348.96	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,137.96	Professional		$1,445.44	$1,995.26	$2,137.96