Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.80 / $614.80 / $768.50	Facility		$614.80	$614.80	$768.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $217.46 / $522.40	Professional		$55.00	$217.46	$522.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.35 / $398.97 / $410.59	Facility		$387.35	$398.97	$410.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.80 / $237.80 / $270.23	Professional		$237.80	$237.80	$270.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $514.71 / $543.11	Professional		$150.00	$514.71	$543.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.46 / $310.60 / $457.39	Facility		$217.46	$310.60	$457.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.21 / $226.21 / $270.23	Professional		$226.21	$226.21	$270.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $270.23 / $398.97 / $410.59	Facility		$270.23	$398.97	$410.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $226.21 / $270.23 / $270.23	Professional		$226.21	$270.23	$270.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $225.00 / $225.00	Professional		$177.75	$225.00	$225.00