Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.04 / $377.04 / $377.04	Facility		$377.04	$377.04	$377.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.14 / $169.14 / $1,387.53	Professional		$169.14	$169.14	$1,387.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $587.76 / $605.39 / $623.03	Facility		$587.76	$605.39	$623.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.34 / $447.58 / $559.47	Professional		$406.34	$447.58	$559.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $286.58 / $539.82	Professional		$165.65	$286.58	$539.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $353.02 / $467.65 / $1,031.97	Facility		$353.02	$467.65	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $313.75 / $705.57	Professional		$191.92	$313.75	$705.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $348.98 / $418.07 / $646.45	Facility		$348.98	$418.07	$646.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $343.27 / $410.49 / $550.05	Professional		$343.27	$410.49	$550.05
United Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $213.51 / $389.20	Professional		$191.92	$213.51	$389.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.54 / $326.00 / $383.50	Professional		$257.54	$326.00	$383.50