Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $616.60 / $891.25	Facility		$245.47	$616.60	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $389.05	Professional		$213.80	$257.04	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $776.25	Professional		$467.74	$616.60	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $407.38 / $588.84	Professional		$151.36	$407.38	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $870.96	Facility		$323.59	$389.05	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $776.25	Professional		$194.98	$229.09	$776.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $707.95	Facility		$323.59	$323.59	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $741.31	Professional		$194.98	$213.80	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $323.59	Professional		$257.04	$323.59	$323.59