Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $389.05 / $758.58	Facility		$380.19	$389.05	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $645.65	Professional		$380.19	$389.05	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $489.78	Professional		$389.05	$389.05	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $575.44	Professional		$194.98	$380.19	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $380.19 / $575.44	Facility		$239.88	$380.19	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $549.54	Professional		$316.23	$398.11	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $478.63	Professional		$407.38	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $457.09	Professional		$380.19	$398.11	$457.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19