Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $562.34	Professional		$154.88	$223.87	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $660.69	Professional		$281.84	$467.74	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $478.63	Professional		$154.88	$275.42	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $1,202.26	Professional		$223.87	$426.58	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $602.56	Professional		$363.08	$426.58	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $575.44	Professional		$331.13	$426.58	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $537.03	Professional		$169.82	$269.15	$537.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $512.86	Professional		$309.03	$363.08	$512.86