Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.63 / $390.40 / $409.47	Professional		$238.63	$390.40	$409.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $596.01 / $745.01	Professional		$477.00	$596.01	$745.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $235.98 / $372.93 / $848.76	Professional		$235.98	$372.93	$848.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.47 / $641.71 / $4,645.00	Facility		$409.47	$641.71	$4,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.73 / $525.41 / $2,332.01	Professional		$268.73	$525.41	$2,332.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $482.82 / $683.04 / $1,597.11	Facility		$482.82	$683.04	$1,597.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $392.38 / $574.22 / $765.50	Professional		$392.38	$574.22	$765.50
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 $256.52 / $390.88 / $728.01	Professional		$256.52	$390.88	$728.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $399.98 / $506.30 / $595.70	Professional		$399.98	$506.30	$595.70