Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $537.03 / $537.03	Facility		$457.09	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $776.25	Professional		$457.09	$457.09	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $616.60	Professional		$489.78	$489.78	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $954.99	Professional		$14.45	$23.99	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $346.74 / $933.25	Facility		$316.23	$346.74	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $512.86 / $616.60	Professional		$269.15	$512.86	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $389.05	Professional		$181.97	$181.97	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $537.03	Professional		$457.09	$512.86	$537.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09