Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $389.05	Professional		$213.80	$331.13	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $588.84	Professional		$467.74	$467.74	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $575.44	Professional		$398.11	$407.38	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $512.86 / $1,905.46	Facility		$380.19	$512.86	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $707.95	Professional		$204.17	$446.68	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $562.34	Professional		$446.68	$524.81	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $707.95	Professional		$204.17	$338.84	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38