Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,951.21 / $6,456.54	Facility		$478.63	$2,951.21	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $436.52 / $1,148.15	Professional		$162.18	$436.52	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,071.52 / $1,348.96	Professional		$346.74	$1,071.52	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $630.96 / $1,584.89	Professional		$151.36	$630.96	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $1,949.84	Facility		$380.19	$1,202.26	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,202.26 / $2,344.23	Professional		$426.58	$1,202.26	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,122.02 / $1,513.56	Professional		$389.05	$1,122.02	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $1,479.11	Professional		$323.59	$426.58	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,548.13	Facility		$1,148.15	$1,621.81	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $562.34 / $1,819.70	Professional		$186.21	$562.34	$1,819.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $1,071.52	Professional		$316.23	$371.54	$1,071.52