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 $397.62 / $747.07 / $1,067.70	Professional		$397.62	$747.07	$1,067.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.84 / $1,162.04 / $1,750.05	Professional		$500.84	$1,162.04	$1,750.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.68 / $701.70 / $1,310.87	Professional		$387.68	$701.70	$1,310.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,380.55 / $6,306.00	Facility		$916.00	$1,380.55	$6,306.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $687.12 / $1,162.04 / $3,284.00	Professional		$687.12	$1,162.04	$3,284.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $934.49 / $1,380.55 / $1,908.09	Facility		$934.49	$1,380.55	$1,908.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $884.88 / $1,162.04 / $1,634.55	Professional		$884.88	$1,162.04	$1,634.55
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 $624.47 / $916.16 / $1,706.57	Professional		$624.47	$916.16	$1,706.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $809.50 / $952.30 / $1,335.10	Professional		$809.50	$952.30	$1,335.10