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 $454.83 / $819.04 / $998.95	Professional		$454.83	$819.04	$998.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.00 / $1,129.08 / $1,645.85	Professional		$549.00	$1,129.08	$1,645.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $411.86 / $683.71 / $1,337.05	Professional		$411.86	$683.71	$1,337.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $881.00 / $1,384.18 / $6,306.00	Facility		$881.00	$1,384.18	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $646.82 / $1,217.96 / $3,506.56	Professional		$646.82	$1,217.96	$3,506.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,022.56 / $1,320.99 / $1,908.09	Facility		$1,022.56	$1,320.99	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $881.00 / $1,163.97 / $1,524.05	Professional		$881.00	$1,163.97	$1,524.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $862.43 / $1,617.06	Professional		$592.91	$862.43	$1,617.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $846.17 / $1,042.09 / $1,260.09	Professional		$846.17	$1,042.09	$1,260.09