Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.00 / $500.85 / $4,043.07	Facility		$266.00	$500.85	$4,043.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.92 / $198.24 / $249.73	Professional		$169.92	$198.24	$249.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $467.40 / $584.26	Professional		$309.20	$467.40	$584.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $450.54 / $679.02	Professional		$257.45	$450.54	$679.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $397.77 / $807.11	Facility		$257.45	$397.77	$807.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $308.94 / $1,363.10	Professional		$154.47	$308.94	$1,363.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $308.94 / $524.50 / $807.11	Facility		$308.94	$524.50	$807.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $524.50 / $755.12	Professional		$309.20	$524.50	$755.12
United Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $623.59	Professional		$154.47	$154.47	$623.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $257.45 / $257.45	Professional		$257.45	$257.45	$257.45