Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,318.26 / $6,456.54	Facility		$194.98	$1,318.26	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $331.13 / $954.99	Professional		$138.04	$331.13	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $478.63	Professional		$239.88	$346.74	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $457.09	Professional		$102.33	$190.55	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $398.11 / $1,621.81	Facility		$194.98	$398.11	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $602.56	Professional		$177.83	$302.00	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $416.87	Professional		$223.87	$346.74	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,344.23	Facility		$758.58	$1,318.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $407.38	Professional		$117.49	$213.80	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $331.13	Professional		$181.97	$213.80	$331.13