Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.40 / $2,352.00 / $6,298.62	Facility		$245.40	$2,352.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $130.25 / $380.58	Professional		$83.21	$130.25	$380.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.97 / $278.75 / $354.49	Professional		$179.97	$278.75	$354.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $177.97 / $482.87	Professional		$121.97	$177.97	$482.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.07 / $354.29 / $3,876.00	Facility		$160.07	$354.29	$3,876.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $296.58 / $578.08	Professional		$158.49	$296.58	$578.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.15 / $312.07 / $711.69	Facility		$196.15	$312.07	$711.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $254.78 / $374.34	Professional		$184.14	$254.78	$374.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,522.00 / $5,454.00	Facility		$1,775.00	$3,522.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $285.66 / $403.88	Professional		$142.38	$285.66	$403.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $198.60 / $300.70	Professional		$168.80	$198.60	$300.70