Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.00 / $2,563.00 / $7,119.04	Facility		$670.00	$2,563.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $221.19 / $521.37	Professional		$118.81	$221.19	$521.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.77 / $341.83 / $649.28	Professional		$225.77	$341.83	$649.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.32 / $297.18 / $578.95	Professional		$120.32	$297.18	$578.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.75 / $370.08 / $1,877.06	Facility		$169.75	$370.08	$1,877.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.82 / $425.62 / $1,831.00	Professional		$228.82	$425.62	$1,831.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $226.70 / $336.49 / $556.45	Facility		$226.70	$336.49	$556.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $313.73 / $620.91	Professional		$201.38	$313.73	$620.91
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 $228.82 / $351.42 / $702.84	Professional		$228.82	$351.42	$702.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $377.70 / $562.50	Professional		$232.30	$377.70	$562.50