Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $794.33 / $6,025.60	Facility		$97.72	$794.33	$6,025.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $954.99 / $977.24	Facility	50	$851.14	$954.99	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $741.31	Professional		$114.82	$204.17	$741.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $630.96 / $1,230.27	Professional	50	$199.53	$630.96	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $398.11	Professional		$223.87	$316.23	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $436.52	Professional		$125.89	$186.21	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $1,023.29	Facility		$154.88	$302.00	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $295.12 / $1,412.54	Professional		$144.54	$295.12	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $380.19	Professional		$263.03	$309.03	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $371.54	Professional		$239.88	$257.04	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $2,344.23	Facility		$660.69	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $354.81	Professional		$117.49	$190.55	$354.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $316.23	Professional		$208.93	$269.15	$316.23