Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $133.34 / $529.57	Professional		$87.02	$133.34	$529.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $213.47 / $266.83	Professional		$112.47	$213.47	$266.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $141.54 / $267.20	Professional		$82.60	$141.54	$267.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.59 / $193.51 / $1,607.00	Facility		$108.59	$193.51	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $195.77 / $650.40	Professional		$111.55	$195.77	$650.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $215.83 / $296.16	Facility		$162.00	$215.83	$296.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $211.79 / $275.30	Professional		$153.96	$211.79	$275.30
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 $93.60 / $139.44 / $268.74	Professional		$93.60	$139.44	$268.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $172.50 / $203.00	Professional		$136.28	$172.50	$203.00