Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,511.89 / $6,760.83	Facility		$204.17	$2,511.89	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $263.03 / $645.65	Professional		$114.82	$263.03	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $338.84 / $776.25	Professional		$158.49	$338.84	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $457.09	Professional		$104.71	$245.47	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $549.54 / $1,380.38	Facility		$251.19	$549.54	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $1,000.00	Professional		$269.15	$478.63	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $741.31	Professional		$269.15	$446.68	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,202.26 / $2,344.23	Facility		$588.84	$1,202.26	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $616.60	Professional		$131.83	$281.84	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $575.44	Professional		$213.80	$257.04	$575.44