Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $7,119.04 / $12,885.00	Facility		$4,014.00	$7,119.04	$12,885.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,014.00 / $4,014.00 / $7,592.00	Professional		$4,014.00	$4,014.00	$7,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,867.49 / $2,122.15 / $2,122.15	Professional		$1,867.49	$2,122.15	$2,122.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $864.18 / $970.32	Professional		$150.00	$864.18	$970.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $261.24 / $2,122.15 / $15,202.00	Facility		$261.24	$2,122.15	$15,202.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.78 / $450.45 / $1,181.11	Professional		$230.78	$450.45	$1,181.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.30 / $398.42 / $510.60	Facility		$315.30	$398.42	$510.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.30 / $430.23 / $707.95	Professional		$315.30	$430.23	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.17 / $450.45 / $607.64	Professional		$221.17	$450.45	$607.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,246.61 / $1,578.00 / $1,856.50	Professional		$1,246.61	$1,578.00	$1,856.50