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 $83.19 / $124.16 / $197.06	Professional		$83.19	$124.16	$197.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.19 / $244.33 / $364.23	Professional		$165.19	$244.33	$364.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $168.87 / $360.16	Professional		$84.89	$168.87	$360.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.01 / $228.70 / $3,123.07	Facility		$131.01	$228.70	$3,123.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $231.81 / $988.56	Professional		$120.16	$231.81	$988.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.26 / $222.27 / $306.72	Facility		$124.26	$222.27	$306.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.19 / $232.24 / $317.85	Professional		$165.19	$232.24	$317.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $4,663.00 / $7,305.00	Facility		$3,044.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $173.46 / $323.06	Professional		$113.83	$173.46	$323.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $206.90 / $286.10	Professional		$175.80	$206.90	$286.10