Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.37 / $703.02 / $983.37	Facility		$361.37	$703.02	$983.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $278.26 / $350.53	Professional		$238.50	$278.26	$350.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.64 / $433.64 / $433.64	Facility		$433.64	$433.64	$433.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.78 / $656.06 / $820.08	Professional		$469.78	$656.06	$820.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $397.51 / $654.08	Professional		$150.00	$397.51	$654.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $361.37 / $433.64 / $993.92	Facility		$361.37	$433.64	$993.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $1,450.61	Professional		$216.82	$216.82	$1,450.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $433.64 / $469.78 / $993.92	Facility		$433.64	$469.78	$993.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $433.64 / $469.78 / $993.92	Professional		$433.64	$469.78	$993.92
United Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $787.79	Professional		$216.82	$216.82	$787.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.37 / $361.37 / $361.37	Professional		$361.37	$361.37	$361.37