Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,338.00 / $4,338.00 / $6,849.00	Facility		$4,338.00	$4,338.00	$6,849.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.00 / $1,697.00 / $1,697.00	Professional		$1,697.00	$1,697.00	$1,697.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.73 / $314.26 / $509.50	Facility		$179.73	$314.26	$509.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $369.24 / $1,181.11	Professional		$220.05	$369.24	$1,181.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.30 / $430.23 / $473.12	Facility		$315.30	$430.23	$473.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $357.37 / $430.23 / $2,122.15	Professional		$357.37	$430.23	$2,122.15
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $354.33 / $413.39	Professional		$220.05	$354.33	$413.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,578.00 / $1,856.50 / $1,930.80	Professional		$1,578.00	$1,856.50	$1,930.80