Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $5,011.87 / $7,943.28	Facility		$295.12	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $602.56	Professional		$169.82	$302.00	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $1,071.52	Professional		$316.23	$549.54	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $851.14	Professional		$181.97	$398.11	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $1,023.29	Facility		$269.15	$537.03	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $575.44 / $1,621.81	Professional		$309.03	$575.44	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $870.96	Professional		$426.58	$537.03	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $741.31	Professional		$316.23	$549.54	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,202.26 / $2,344.23	Facility		$602.56	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $758.58	Professional		$190.55	$354.81	$758.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $851.14	Professional		$389.05	$457.09	$851.14