Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.00 / $2,834.13 / $7,420.43	Facility		$567.00	$2,834.13	$7,420.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $300.64 / $830.82	Professional		$154.55	$300.64	$830.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $280.48 / $395.39	Professional		$166.61	$280.48	$395.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $184.69 / $391.33	Professional		$101.10	$184.69	$391.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.55 / $360.82 / $1,341.00	Facility		$154.55	$360.82	$1,341.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.22 / $331.18 / $756.32	Professional		$164.22	$331.18	$756.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $251.09 / $347.73 / $524.57	Facility		$251.09	$347.73	$524.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $225.61 / $347.73 / $445.75	Professional		$225.61	$347.73	$445.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,623.00 / $2,126.00	Facility		$1,204.00	$1,623.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $223.16 / $445.49	Professional		$150.54	$223.16	$445.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $216.20 / $296.39	Professional		$183.80	$216.20	$296.39