Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $116.52 / $309.13	Professional		$61.73	$116.52	$309.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $147.06 / $248.34	Professional		$117.64	$147.06	$248.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $119.52 / $350.85	Professional		$48.39	$119.52	$350.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.02 / $204.31 / $1,607.00	Facility		$129.02	$204.31	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $191.48 / $649.58	Professional		$112.82	$191.48	$649.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.82 / $174.77 / $229.39	Facility		$112.82	$174.77	$229.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $168.60 / $232.48	Professional		$112.82	$168.60	$232.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $192.41 / $316.60	Professional		$95.41	$192.41	$316.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $121.70 / $201.00	Professional		$103.40	$121.70	$201.00