Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $309.03 / $436.52	Facility		$114.82	$309.03	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $151.36	Professional		$104.71	$123.03	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Professional		$380.19	$380.19	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $363.08	Professional		$151.36	$257.04	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $199.53 / $457.09	Facility		$177.83	$199.53	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $660.69	Professional		$89.13	$165.96	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $239.88	Professional		$177.83	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $457.09	Facility		$199.53	$199.53	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $380.19	Professional		$89.13	$93.33	$380.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53