Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $398.11	Facility		$331.13	$331.13	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $457.09	Professional		$204.17	$295.12	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $645.65	Facility		$346.74	$346.74	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $645.65 / $794.33	Professional		$346.74	$645.65	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $54.95	Professional		$44.67	$54.95	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $630.96 / $2,511.89	Facility		$63.10	$630.96	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $676.08	Professional		$169.82	$275.42	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,513.56	Professional		$630.96	$741.31	$1,513.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $181.97 / $416.87	Facility		$22.91	$181.97	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $758.58	Professional		$229.09	$275.42	$758.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $524.81	Professional		$407.38	$524.81	$524.81