Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.64 / $1,581.01 / $6,298.62	Facility		$289.64	$1,581.01	$6,298.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $161.54 / $417.00	Professional		$58.62	$161.54	$417.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.56 / $294.72 / $413.90	Professional		$135.56	$294.72	$413.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $205.40 / $389.54	Professional		$61.93	$205.40	$389.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $275.61 / $1,724.14	Facility		$98.95	$275.61	$1,724.14
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $233.74 / $233.74 / $233.74	Facility	52	$233.74	$233.74	$233.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $291.33 / $1,130.56	Professional		$145.43	$291.33	$1,130.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.79 / $337.86 / $699.52	Facility		$152.79	$337.86	$699.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $282.00 / $356.03	Professional		$150.88	$282.00	$356.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.82 / $228.60 / $426.11	Professional		$137.82	$228.60	$426.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $222.07 / $330.70	Professional		$123.90	$222.07	$330.70