Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $363.08 / $588.84	Facility		$295.12	$363.08	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $363.08	Professional		$295.12	$309.03	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $263.03	Professional		$208.93	$263.03	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $446.68	Professional		$134.90	$151.36	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $309.03 / $489.78	Facility		$169.82	$309.03	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $524.81	Professional		$169.82	$295.12	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $354.81	Professional		$331.13	$331.13	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $316.23	Professional		$295.12	$295.12	$316.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12