Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.39 / $288.39 / $347.22	Facility		$288.39	$288.39	$347.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $264.58 / $398.25	Professional		$156.06	$264.58	$398.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $331.53 / $542.03	Facility		$331.53	$331.53	$542.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $552.00 / $690.00	Professional		$331.53	$552.00	$690.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $47.61 / $47.61	Professional		$45.23	$47.61	$47.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.02 / $571.03 / $2,238.82	Facility		$63.02	$571.03	$2,238.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $257.93 / $652.04	Professional		$193.13	$257.93	$652.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $54.20 / $128.10	Facility		$54.20	$54.20	$128.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $66.84 / $430.90	Professional		$53.79	$66.84	$430.90
United Facility/Professional Professional Modifier Low / Median / High Price $231.76 / $257.93 / $652.04	Professional		$231.76	$257.93	$652.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $350.35 / $443.48 / $443.48	Professional		$350.35	$443.48	$443.48