Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $436.52	Professional		$147.91	$181.97	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $549.54 / $562.34	Facility		$537.03	$549.54	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $512.86	Professional		$416.87	$436.52	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $354.81	Professional		$147.91	$234.42	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $457.09 / $1,071.52	Facility		$263.03	$457.09	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $575.44	Professional		$151.36	$263.03	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $363.08 / $489.78	Professional		$346.74	$363.08	$489.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $489.78	Professional		$398.11	$398.11	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,230.27	Facility		$524.81	$912.01	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $426.58	Professional		$147.91	$208.93	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $346.74	Professional		$234.42	$295.12	$346.74