Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.73 / $371.02 / $426.67	Facility		$221.73	$371.02	$426.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $88.06 / $694.21	Professional		$88.06	$88.06	$694.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.56 / $337.39 / $347.21	Facility		$327.56	$337.39	$347.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $239.69 / $299.61	Professional		$218.46	$239.69	$299.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $167.71 / $430.75	Professional		$89.02	$167.71	$430.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.80 / $284.37 / $1,031.97	Facility		$188.80	$284.37	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $153.86 / $561.87	Professional		$101.14	$153.86	$561.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $215.80 / $325.14 / $509.39	Facility		$215.80	$325.14	$509.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $188.80 / $229.79 / $320.91	Professional		$188.80	$229.79	$320.91
United Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $112.03 / $195.10	Professional		$97.42	$112.03	$195.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.49 / $175.30 / $206.20	Professional		$138.49	$175.30	$206.20