Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $1,380.38	Facility		$389.05	$954.99	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $602.56	Professional		$331.13	$389.05	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,202.26	Professional		$724.44	$954.99	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $630.96 / $912.01	Professional		$151.36	$630.96	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $602.56 / $1,348.96	Facility		$501.19	$602.56	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,148.15	Professional		$302.00	$302.00	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,122.02	Facility		$501.19	$501.19	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,096.48	Professional		$302.00	$302.00	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $501.19	Professional		$398.11	$501.19	$501.19