Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $375.97 / $413.87	Professional		$190.76	$375.97	$413.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $423.38 / $828.11	Professional		$175.28	$423.38	$828.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $310.39 / $455.25 / $567.50	Professional		$310.39	$455.25	$567.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.73 / $427.84 / $741.30	Facility		$332.73	$427.84	$741.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $242.90 / $416.99	Professional		$182.18	$242.90	$416.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $535.59 / $949.46	Facility		$384.00	$535.59	$949.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $484.94 / $949.46	Professional		$384.00	$484.94	$949.46
United Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $242.90 / $356.26	Professional		$161.94	$242.90	$356.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $436.08 / $552.00 / $552.00	Professional		$436.08	$552.00	$552.00