Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.95 / $3,167.00 / $6,298.62	Facility		$460.95	$3,167.00	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $434.51 / $941.26	Professional		$163.21	$434.51	$941.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.69 / $426.35 / $1,310.84	Professional		$339.69	$426.35	$1,310.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.78 / $631.23 / $1,584.94	Professional		$148.78	$631.23	$1,584.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.62 / $1,204.00 / $1,966.00	Facility		$373.62	$1,204.00	$1,966.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.35 / $1,339.95 / $3,391.80	Professional		$426.35	$1,339.95	$3,391.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $378.25 / $992.72 / $1,525.00	Facility		$378.25	$992.72	$1,525.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.43 / $992.72 / $1,525.00	Professional		$346.43	$992.72	$1,525.00
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 $636.76 / $1,194.14 / $1,874.57	Professional		$636.76	$1,194.14	$1,874.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $317.60 / $373.70 / $1,070.70	Professional		$317.60	$373.70	$1,070.70