Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,645.89 / $4,645.89 / $4,645.89	Facility		$4,645.89	$4,645.89	$4,645.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $68.47 / $73.73	Professional		$62.86	$68.47	$73.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $123.00 / $143.36	Professional		$98.40	$123.00	$143.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $70.98 / $331.42	Professional		$47.00	$70.98	$331.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.34 / $136.91 / $2,126.00	Facility		$73.34	$136.91	$2,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $121.52 / $211.18	Professional		$66.30	$121.52	$211.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.04 / $121.48 / $143.36	Facility		$86.04	$121.48	$143.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $121.48 / $145.27	Professional		$79.14	$121.48	$145.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $118.15 / $172.28	Professional		$63.54	$118.15	$172.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $100.80 / $118.50	Professional		$79.63	$100.80	$118.50