Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,666.78 / $7,119.04	Facility		$814.00	$3,666.78	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.96 / $390.00 / $1,219.00	Professional		$221.96	$390.00	$1,219.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $520.04 / $759.62	Professional		$262.95	$520.04	$759.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $334.84 / $639.44	Professional		$168.80	$334.84	$639.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $495.97 / $4,869.67	Facility		$277.02	$495.97	$4,869.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $486.21 / $1,365.68	Professional		$302.00	$486.21	$1,365.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $411.90 / $652.17 / $1,331.66	Facility		$411.90	$652.17	$1,331.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.41 / $494.21 / $726.75	Professional		$354.41	$494.21	$726.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.57 / $384.09 / $706.34	Professional		$278.57	$384.09	$706.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $387.10 / $554.50	Professional		$329.00	$387.10	$554.50