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 $184.51 / $346.18 / $536.47	Professional		$184.51	$346.18	$536.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.01 / $582.38 / $886.23	Professional		$232.01	$582.38	$886.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $326.25 / $773.28	Professional		$180.25	$326.25	$773.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $435.96 / $675.40 / $6,226.87	Facility		$435.96	$675.40	$6,226.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $336.19 / $613.50 / $1,491.84	Professional		$336.19	$613.50	$1,491.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $356.73 / $494.82 / $792.99	Facility		$356.73	$494.82	$792.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $435.96 / $600.66 / $852.48	Professional		$435.96	$600.66	$852.48
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 $315.61 / $448.26 / $840.48	Professional		$315.61	$448.26	$840.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $377.60 / $444.30 / $670.50	Professional		$377.60	$444.30	$670.50