Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $741.31 / $1,412.54	Facility		$213.80	$741.31	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $269.15	Professional		$204.17	$239.88	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $660.69	Professional		$524.81	$524.81	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $354.81 / $501.19	Professional		$151.36	$354.81	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $331.13 / $630.96	Facility		$275.42	$331.13	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $1,096.48	Professional		$165.96	$275.42	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $630.96	Facility		$275.42	$275.42	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $691.83	Professional		$165.96	$165.96	$691.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42