Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $93.95 / $138.33	Professional		$65.06	$93.95	$138.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $193.80 / $240.20	Professional		$133.54	$193.80	$240.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $118.01 / $215.62	Professional		$62.88	$118.01	$215.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $174.13 / $758.10	Facility		$96.73	$174.13	$758.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $174.13 / $507.44	Professional		$92.83	$174.13	$507.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.64 / $168.68 / $233.36	Facility		$75.64	$168.68	$233.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $174.82 / $240.20	Professional		$132.29	$174.82	$240.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $135.02 / $253.17	Professional		$88.00	$135.02	$253.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $154.00 / $207.60	Professional		$130.90	$154.00	$207.60