Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $457.09	Professional		$120.23	$204.17	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $676.08	Professional		$316.23	$501.19	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $575.44	Professional		$134.90	$275.42	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $724.44	Professional		$234.42	$371.54	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $616.60	Professional		$295.12	$416.87	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $549.54	Professional		$151.36	$275.42	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $478.63	Professional		$239.88	$281.84	$478.63