Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.64 / $5,091.00 / $7,119.04	Facility		$289.64	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $107.34 / $289.64	Professional		$75.06	$107.34	$289.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $169.34 / $189.91	Professional		$149.02	$169.34	$189.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $103.79 / $204.27	Professional		$62.71	$103.79	$204.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $169.99 / $6,608.00	Facility		$128.44	$169.99	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $163.62 / $287.33	Professional		$81.13	$163.62	$287.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $164.22 / $209.62	Facility		$113.69	$164.22	$209.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $148.79 / $209.62	Professional		$113.69	$148.79	$209.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $157.38 / $220.09	Professional		$77.75	$157.38	$220.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $134.10 / $157.80	Professional		$105.94	$134.10	$157.80