Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $7,762.47 / $12,302.69	Facility		$6,165.95	$7,762.47	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,456.54 / $8,709.64	Professional		$6,165.95	$6,456.54	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $7,943.28	Professional		$6,309.57	$6,309.57	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $6,456.54 / $6,918.31	Professional		$151.36	$6,456.54	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $6,456.54 / $10,000.00	Facility		$275.42	$6,456.54	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $6,456.54 / $9,120.11	Professional		$275.42	$6,456.54	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $6,918.31	Professional		$60.26	$60.26	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,456.54	Professional		$6,165.95	$6,165.95	$6,456.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54