Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $300.08 / $365.12	Professional		$191.96	$300.08	$365.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.59 / $482.34 / $579.46	Professional		$414.59	$482.34	$579.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.58 / $342.31 / $669.17	Professional		$198.58	$342.31	$669.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.08 / $494.40 / $1,607.00	Facility		$300.08	$494.40	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.73 / $430.73 / $1,555.12	Professional		$227.73	$430.73	$1,555.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $383.98 / $496.80 / $663.27	Facility		$383.98	$496.80	$663.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.87 / $467.98 / $641.21	Professional		$338.87	$467.98	$641.21
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 $222.99 / $329.76 / $670.92	Professional		$222.99	$329.76	$670.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $412.60 / $485.50	Professional		$325.95	$412.60	$485.50