Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $275.42	Facility		$229.09	$229.09	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $316.23	Professional		$162.18	$213.80	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $446.68	Facility		$269.15	$269.15	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $562.34	Professional		$269.15	$446.68	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $38.90	Professional		$36.31	$38.90	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $501.19 / $1,819.70	Facility		$43.65	$501.19	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $478.63	Professional		$138.04	$199.53	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $1,023.29	Professional		$436.52	$501.19	$1,023.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $144.54 / $288.40	Facility		$17.78	$144.54	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $524.81	Professional		$181.97	$208.93	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $354.81	Professional		$281.84	$354.81	$354.81