Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.24 / $337.24 / $406.00	Facility		$337.24	$337.24	$406.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $309.39 / $465.71	Professional		$179.16	$309.39	$465.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.36 / $279.36 / $562.65	Facility		$279.36	$279.36	$562.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $648.75 / $829.25	Professional		$279.36	$648.75	$829.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $53.53 / $53.53	Professional		$53.53	$53.53	$53.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $673.40 / $3,065.64	Facility		$100.00	$673.40	$3,065.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.90 / $313.02 / $762.44	Professional		$243.90	$313.02	$762.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $62.99 / $148.88	Facility		$62.99	$62.99	$148.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $75.28 / $148.88	Professional		$62.49	$75.28	$148.88
United Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $301.60 / $762.44	Professional		$266.08	$301.60	$762.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.12 / $515.34 / $515.34	Professional		$407.12	$515.34	$515.34