Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,235.94 / $6,760.83	Facility		$204.17	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $363.08	Professional		$117.49	$147.91	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $407.38	Professional		$229.09	$323.59	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $323.59	Professional		$134.90	$199.53	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $346.74 / $5,128.61	Facility		$165.96	$346.74	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $1,445.44	Professional		$128.82	$257.04	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $346.74	Professional		$245.47	$302.00	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $346.74	Professional		$229.09	$263.03	$346.74
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 $123.03 / $186.21 / $354.81	Professional		$123.03	$186.21	$354.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $346.74	Professional		$234.42	$295.12	$346.74