Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $252.46 / $432.35	Professional		$150.97	$252.46	$432.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.29 / $455.77 / $744.03	Professional		$314.29	$455.77	$744.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $350.13 / $722.12	Professional		$159.22	$350.13	$722.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $249.92 / $422.36 / $751.52	Facility		$249.92	$422.36	$751.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.80 / $466.60 / $1,703.36	Professional		$270.80	$466.60	$1,703.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.86 / $391.93 / $690.77	Facility		$229.86	$391.93	$690.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $329.46 / $431.07 / $718.56	Professional		$329.46	$431.07	$718.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $399.23 / $743.57	Professional		$261.58	$399.23	$743.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $315.70 / $371.50 / $657.60	Professional		$315.70	$371.50	$657.60