Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $2,511.89 / $6,760.83	Facility		$83.18	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $125.89 / $467.74	Professional		$52.48	$125.89	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $275.42	Professional		$123.03	$154.88	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $263.03	Professional		$54.95	$114.82	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $218.78 / $1,380.38	Facility		$85.11	$218.78	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $346.74	Professional		$107.15	$158.49	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $251.19	Professional		$120.23	$204.17	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,344.23	Facility		$831.76	$1,380.38	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $218.78	Professional		$64.57	$117.49	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $199.53	Professional		$97.72	$114.82	$199.53