Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,570.40 / $7,943.28	Facility		$316.23	$2,570.40	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $436.52	Professional		$95.50	$181.97	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $524.81	Professional		$128.82	$281.84	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $446.68	Professional		$87.10	$165.96	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $416.87 / $5,623.41	Facility		$208.93	$416.87	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $707.95	Professional		$204.17	$331.13	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $478.63	Professional		$223.87	$380.19	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $6,309.57	Facility		$1,819.70	$3,981.07	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $426.58	Professional		$109.65	$208.93	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $389.05	Professional		$181.97	$213.80	$389.05