Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.33 / $727.33 / $1,884.74	Facility		$727.33	$727.33	$1,884.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.14 / $682.14 / $727.33	Professional		$682.14	$682.14	$727.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $154.69 / $154.69	Professional		$123.75	$154.69	$154.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $449.29 / $468.12	Professional		$150.00	$449.29	$468.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $617.39 / $727.33	Facility		$1.00	$617.39	$727.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $603.98 / $710.56 / $731.88	Professional		$603.98	$710.56	$731.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.00 / $617.39	Facility		$0.90	$1.00	$617.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $221.68 / $221.68 / $617.39	Professional		$221.68	$221.68	$617.39
United Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $710.56	Professional		$710.56	$710.56	$710.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $710.56 / $710.56 / $710.56	Facility		$710.56	$710.56	$710.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $710.56	Professional		$710.56	$710.56	$710.56