Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.63 / $695.75 / $973.19	Facility		$357.63	$695.75	$973.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.04 / $236.04 / $236.04	Professional		$236.04	$236.04	$236.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $649.54 / $811.92	Professional		$410.94	$649.54	$811.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.99 / $464.92 / $647.30	Professional		$303.99	$464.92	$647.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.63 / $461.51 / $1,343.70	Facility		$357.63	$461.51	$1,343.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.58 / $214.58 / $904.45	Professional		$214.58	$214.58	$904.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $429.50 / $654.01 / $783.78	Facility		$429.50	$654.01	$783.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $429.16 / $703.80 / $933.41	Professional		$429.16	$703.80	$933.41
United Facility/Professional Professional Modifier Low / Median / High Price $214.58 / $214.58 / $732.25	Professional		$214.58	$214.58	$732.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $357.63 / $357.63	Professional		$282.52	$357.63	$357.63