Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $724.44 / $1,047.13	Facility		$295.12	$724.44	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $457.09	Professional		$251.19	$302.00	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $912.01	Professional		$549.54	$724.44	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $478.63 / $691.83	Professional		$151.36	$478.63	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $1,023.29	Facility		$380.19	$457.09	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $870.96	Professional		$229.09	$229.09	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $831.76	Facility		$380.19	$380.19	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $831.76	Professional		$229.09	$229.09	$831.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $380.19	Professional		$302.00	$380.19	$380.19