Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.83 / $535.66 / $1,379.84	Facility		$296.83	$535.66	$1,379.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,576.96 / $1,576.96 / $1,576.96	Professional		$1,576.96	$1,576.96	$1,576.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.42 / $500.04 / $625.05	Professional		$330.42	$500.04	$625.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.05 / $371.72 / $1,407.34	Professional		$234.05	$371.72	$1,407.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.35 / $355.32 / $704.90	Facility		$275.35	$355.32	$704.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.21 / $184.76 / $1,034.57	Professional		$165.21	$184.76	$1,034.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $330.42 / $418.09 / $603.46	Facility		$330.42	$418.09	$603.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $330.42 / $503.54 / $718.66	Professional		$330.42	$503.54	$718.66
United Facility/Professional Professional Modifier Low / Median / High Price $165.21 / $165.21 / $600.26	Professional		$165.21	$165.21	$600.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $275.35 / $275.35	Professional		$275.35	$275.35	$275.35