Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,897.82 / $3,259.25 / $7,119.04	Facility		$1,897.82	$3,259.25	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.47 / $179.26 / $414.46	Professional		$92.47	$179.26	$414.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $251.26 / $408.05	Professional		$140.13	$251.26	$408.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $178.36 / $257.79	Professional		$90.46	$178.36	$257.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $245.03 / $2,314.36	Facility		$139.21	$245.03	$2,314.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.33 / $248.63 / $682.16	Professional		$164.33	$248.63	$682.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.69 / $216.51 / $356.45	Facility		$117.69	$216.51	$356.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $279.67 / $388.86	Professional		$193.19	$279.67	$388.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $205.41 / $378.91	Professional		$152.74	$205.41	$378.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $192.50 / $302.00	Professional		$163.60	$192.50	$302.00