Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.13 / $333.13 / $401.07	Facility		$333.13	$333.13	$401.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $292.39 / $460.04	Professional		$177.24	$292.39	$460.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $636.48	Facility		$347.16	$347.16	$636.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.16 / $636.48 / $801.56	Professional		$347.16	$636.48	$801.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $54.76 / $55.32	Professional		$44.26	$54.76	$55.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $625.09 / $2,490.09	Facility		$74.06	$625.09	$2,490.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.06 / $282.55 / $753.18	Professional		$189.06	$282.55	$753.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $63.66 / $150.46	Facility		$63.66	$63.66	$150.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $76.14 / $150.46	Professional		$63.22	$76.14	$150.46
United Facility/Professional Professional Modifier Low / Median / High Price $226.87 / $282.55 / $753.18	Professional		$226.87	$282.55	$753.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $411.40 / $520.76 / $520.76	Professional		$411.40	$520.76	$520.76