Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.74 / $250.74 / $303.45	Facility		$250.74	$250.74	$303.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.05 / $230.71 / $346.26	Professional		$128.05	$230.71	$346.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $405.10	Facility		$240.34	$240.34	$405.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $405.10 / $604.69	Professional		$36.46	$405.10	$604.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $39.79 / $534.73	Professional		$39.79	$39.79	$534.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $481.52 / $2,207.17	Facility		$100.00	$481.52	$2,207.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.32 / $225.42 / $569.86	Professional		$174.32	$225.42	$569.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $46.00 / $108.73	Facility		$46.00	$46.00	$108.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $55.13 / $108.73	Professional		$45.86	$55.13	$108.73
United Facility/Professional Professional Modifier Low / Median / High Price $190.17 / $237.34 / $569.86	Professional		$190.17	$237.34	$569.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $376.38 / $376.38	Professional		$297.33	$376.38	$376.38