Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,511.89 / $6,760.83	Facility		$245.47	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $602.56	Professional		$147.91	$245.47	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $758.58	Professional		$288.40	$446.68	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $457.09	Professional		$147.91	$302.00	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $3,981.07	Facility		$245.47	$436.52	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $1,348.96	Professional		$263.03	$478.63	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $691.83	Professional		$363.08	$436.52	$691.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $645.65	Professional		$316.23	$501.19	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,370.32	Facility		$1,819.70	$3,890.45	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $616.60	Professional		$165.96	$295.12	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $575.44	Professional		$302.00	$354.81	$575.44