Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $240.16 / $267.43	Professional		$123.16	$240.16	$267.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $277.50 / $622.60	Professional		$114.94	$277.50	$622.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $203.54 / $317.33 / $454.00	Professional		$203.54	$317.33	$454.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.20 / $280.73 / $486.10	Facility		$218.20	$280.73	$486.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.47 / $159.29 / $273.44	Professional		$119.47	$159.29	$273.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $351.21 / $622.60	Facility		$234.00	$351.21	$622.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $318.00 / $622.60	Professional		$234.00	$318.00	$622.60
United Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $159.29 / $233.62	Professional		$99.56	$159.29	$233.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,170.78 / $1,482.00 / $1,482.00	Professional		$1,170.78	$1,482.00	$1,482.00