Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.28 / $2,736.91 / $4,420.10	Facility		$98.28	$2,736.91	$4,420.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,695.20 / $2,326.37 / $2,736.91	Professional		$1,695.20	$2,326.37	$2,736.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,182.50 / $2,182.50 / $2,728.13	Professional		$2,182.50	$2,182.50	$2,728.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $22.23 / $846.14	Professional		$12.97	$22.23	$846.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.99 / $2,359.90 / $2,736.91	Facility		$182.99	$2,359.90	$2,736.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.48 / $2,654.57 / $2,772.03	Professional		$168.48	$2,654.57	$2,772.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $178.17 / $2,621.25 / $4,737.50	Facility		$178.17	$2,621.25	$4,737.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $182.99 / $235.86	Professional		$129.04	$182.99	$235.86
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,654.57 / $2,772.03	Professional		$2,349.17	$2,654.57	$2,772.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,280.76 / $2,280.76 / $2,280.76	Facility		$2,280.76	$2,280.76	$2,280.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,280.76 / $2,280.76 / $2,280.76	Professional		$2,280.76	$2,280.76	$2,280.76