Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.53 / $413.53 / $497.79	Facility		$413.53	$413.53	$497.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.03 / $371.01 / $571.07	Professional		$226.03	$371.01	$571.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $654.26	Facility		$450.88	$450.88	$654.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.88 / $735.57 / $998.44	Professional		$450.88	$735.57	$998.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $983.00 / $1,114.00 / $1,180.00	Professional		$983.00	$1,114.00	$1,180.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $1,076.04 / $3,564.78	Facility		$47.43	$1,076.04	$3,564.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.45 / $353.17 / $934.82	Professional		$235.45	$353.17	$934.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.33 / $78.33 / $185.15	Facility		$78.33	$78.33	$185.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $93.88 / $185.15	Professional		$78.11	$93.88	$185.15
United Facility/Professional Facility Modifier Low / Median / High Price $35.50 / $266.23 / $528.12	Facility		$35.50	$266.23	$528.12
United Facility/Professional Professional Modifier Low / Median / High Price $306.08 / $352.72 / $934.82	Professional		$306.08	$352.72	$934.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $506.30 / $640.89 / $640.89	Professional		$506.30	$640.89	$640.89