Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.81 / $786.81 / $967.75	Facility		$786.81	$786.81	$967.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.88 / $737.23 / $1,091.58	Professional		$518.88	$737.23	$1,091.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.67 / $775.91 / $1,239.00	Facility		$746.67	$775.91	$1,239.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $1,428.75 / $1,785.94	Professional		$1,239.00	$1,428.75	$1,785.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $246.17 / $1,451.00	Professional		$127.52	$246.17	$1,451.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.02 / $1,337.58 / $6,750.76	Facility		$161.02	$1,337.58	$6,750.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $475.17 / $673.02 / $1,633.84	Professional		$475.17	$673.02	$1,633.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.29 / $161.02 / $380.59	Facility		$156.29	$161.02	$380.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $193.02 / $380.59	Professional		$155.16	$193.02	$380.59
United Facility/Professional Professional Modifier Low / Median / High Price $542.29 / $673.02 / $1,543.16	Professional		$542.29	$673.02	$1,543.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,317.42 / $1,317.42 / $1,317.42	Facility		$1,317.42	$1,317.42	$1,317.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,040.76 / $1,317.42 / $1,317.42	Professional		$1,040.76	$1,317.42	$1,317.42