Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.61 / $3,795.64 / $12,354.05	Facility		$346.61	$3,795.64	$12,354.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $182.43 / $500.80	Professional		$111.90	$182.43	$500.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.07 / $258.66 / $323.33	Professional		$195.07	$258.66	$323.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $348.27 / $662.96 / $852.85	Professional		$348.27	$662.96	$852.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $262.25 / $1,607.00	Facility		$180.00	$262.25	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $225.32 / $1,130.26	Professional		$123.43	$225.32	$1,130.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $257.64 / $350.61	Facility		$180.00	$257.64	$350.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $257.64 / $350.61	Professional		$164.00	$257.64	$350.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $178.45 / $334.59	Professional		$117.11	$178.45	$334.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $207.30 / $243.90	Professional		$163.77	$207.30	$243.90