Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,511.89 / $6,760.83	Facility		$389.05	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $707.95	Professional		$234.42	$380.19	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,230.27	Professional		$446.68	$724.44	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $741.31	Professional		$223.87	$478.63	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $707.95 / $4,466.84	Facility		$398.11	$707.95	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $1,778.28	Professional		$398.11	$724.44	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,000.00	Professional		$575.44	$676.08	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,000.00	Professional		$489.78	$741.31	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,309.57	Facility		$2,570.40	$4,677.35	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $912.01	Professional		$263.03	$446.68	$912.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $933.25	Professional		$478.63	$562.34	$933.25