Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.53 / $391.49 / $570.62	Facility		$178.53	$391.49	$570.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $127.52 / $447.60	Professional		$109.30	$127.52	$447.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.39 / $300.94 / $376.18	Professional		$190.39	$300.94	$376.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $248.42 / $354.11	Professional		$165.61	$248.42	$354.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.61 / $228.98 / $651.24	Facility		$165.61	$228.98	$651.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $165.61 / $386.82	Professional		$99.37	$165.61	$386.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.75 / $303.67 / $483.00	Facility		$192.75	$303.67	$483.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $303.67 / $432.24	Professional		$198.73	$303.67	$432.24
United Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $112.55 / $375.10	Professional		$99.37	$112.55	$375.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $165.61 / $165.61	Professional		$130.83	$165.61	$165.61