Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $602.56 / $7,244.36	Facility		$107.15	$602.56	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $288.40	Professional		$64.57	$97.72	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $194.98	Professional		$154.88	$169.82	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $331.13	Professional		$67.61	$112.20	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $6,606.93	Facility		$128.82	$173.78	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $269.15	Professional		$81.28	$147.91	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $263.03	Professional		$147.91	$169.82	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $169.82	Professional		$141.25	$141.25	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $218.78	Professional		$74.13	$112.20	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $158.49	Professional		$107.15	$134.90	$158.49