Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.41 / $942.69 / $1,891.96	Professional		$557.41	$942.69	$1,891.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.35 / $1,381.34 / $1,726.68	Professional		$703.35	$1,381.34	$1,726.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $540.67 / $763.97 / $1,552.75	Professional		$540.67	$763.97	$1,552.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,655.16 / $7,104.12	Facility		$900.00	$1,655.16	$7,104.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.92 / $1,135.33 / $2,002.00	Professional		$660.92	$1,135.33	$2,002.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,539.00 / $2,052.00	Facility		$953.00	$1,539.00	$2,052.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $878.00 / $1,240.54 / $1,656.14	Professional		$878.00	$1,240.54	$1,656.14
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 $623.77 / $919.54 / $1,709.40	Professional		$623.77	$919.54	$1,709.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $893.02 / $1,236.80 / $1,329.90	Professional		$893.02	$1,236.80	$1,329.90