Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $489.78 / $489.78	Facility		$316.23	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $478.63	Professional		$190.55	$288.40	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $741.31	Professional		$602.56	$602.56	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $151.36	Professional		$50.12	$77.62	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $74.13 / $660.69	Facility		$47.86	$74.13	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $338.84	Professional		$26.30	$43.65	$338.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $52.48 / $338.84	Facility		$19.50	$52.48	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $51.29 / $398.11	Professional		$26.30	$51.29	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $524.81	Professional		$416.87	$524.81	$524.81