Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,511.89 / $6,760.83	Facility		$218.78	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $363.08	Professional		$128.82	$162.18	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $436.52	Professional		$323.59	$354.81	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $645.65	Professional		$138.04	$229.09	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $363.08 / $1,621.81	Facility		$199.53	$363.08	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $602.56	Professional		$177.83	$331.13	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $426.58	Professional		$316.23	$354.81	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $426.58	Professional		$158.49	$229.09	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $331.13	Professional		$223.87	$281.84	$331.13