Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,479.11 / $2,137.96	Facility		$588.84	$1,479.11	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $776.25	Professional		$549.54	$602.56	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,862.09	Professional		$1,096.48	$1,479.11	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $954.99 / $1,412.54	Professional		$151.36	$954.99	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $2,041.74	Facility		$776.25	$933.25	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,778.28	Professional		$467.74	$467.74	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,698.24	Facility		$776.25	$776.25	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,698.24	Professional		$467.74	$467.74	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $776.25	Professional		$616.60	$776.25	$776.25