Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,511.89 / $6,760.83	Facility		$229.09	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $478.63	Professional		$131.83	$213.80	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $363.08 / $489.78	Professional		$151.36	$363.08	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $436.52	Professional		$117.49	$194.98	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $489.78 / $5,888.44	Facility		$234.42	$489.78	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $977.24	Professional		$218.78	$363.08	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $524.81	Professional		$302.00	$416.87	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,128.61 / $7,244.36	Facility		$3,019.95	$5,128.61	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $457.09	Professional		$147.91	$245.47	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $436.52	Professional		$245.47	$288.40	$436.52