Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.00 / $3,489.13 / $7,119.04	Facility		$744.00	$3,489.13	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.21 / $270.76 / $579.29	Professional		$174.21	$270.76	$579.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.66 / $529.21 / $731.38	Professional		$350.66	$529.21	$731.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $352.26 / $793.52	Professional		$190.40	$352.26	$793.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $270.76 / $499.78 / $1,970.00	Facility		$270.76	$499.78	$1,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.29 / $494.09 / $1,554.84	Professional		$253.29	$494.09	$1,554.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $429.77 / $542.44 / $921.98	Facility		$429.77	$542.44	$921.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $353.84 / $480.40 / $682.12	Professional		$353.84	$480.40	$682.12
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 $241.77 / $368.42 / $749.57	Professional		$241.77	$368.42	$749.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $373.50 / $439.40 / $585.10	Professional		$373.50	$439.40	$585.10