Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.05 / $206.00 / $206.00	Professional		$161.05	$206.00	$206.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.70 / $358.39 / $374.67	Professional		$286.70	$358.39	$374.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.07 / $231.96 / $402.53	Professional		$127.07	$231.96	$402.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $285.26 / $542.79 / $14,428.30	Facility		$285.26	$542.79	$14,428.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $315.13 / $553.44	Professional		$166.68	$315.13	$553.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $271.00 / $427.58 / $7,954.19	Facility		$271.00	$427.58	$7,954.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.12 / $303.89 / $403.63	Professional		$201.12	$303.89	$403.63
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $298.86 / $431.03	Professional		$149.75	$298.86	$431.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $216.14 / $273.60 / $321.80	Professional		$216.14	$273.60	$321.80