Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,729.06	Professional		$3,692.14	$3,692.14	$3,729.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.67 / $3,514.82 / $3,807.00	Professional		$583.67	$3,514.82	$3,807.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.34 / $3,692.14 / $6,682.77	Professional		$1,514.34	$3,692.14	$6,682.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,420.00 / $3,774.77 / $6,379.36	Facility		$3,420.00	$3,774.77	$6,379.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,586.03 / $3,774.77 / $7,549.54	Professional		$3,586.03	$3,774.77	$7,549.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,514.82 / $3,514.82 / $4,529.72	Facility		$3,514.82	$3,514.82	$4,529.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $583.67 / $3,514.82 / $4,529.72	Professional		$583.67	$3,514.82	$4,529.72
United Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Facility		$2.93	$2.93	$2.93
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $4,803.47	Professional		$3,692.14	$3,692.14	$4,803.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3,774.77 / $3,774.77 / $3,774.77	Facility		$3,774.77	$3,774.77	$3,774.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,982.07 / $3,774.77 / $3,774.77	Professional		$2,982.07	$3,774.77	$3,774.77