Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.51 / $408.51 / $765.04	Facility		$408.51	$408.51	$765.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $408.51 / $817.41	Professional		$346.11	$408.51	$817.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.39 / $346.39 / $432.98	Professional		$346.39	$346.39	$432.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.17 / $346.11 / $563.04	Professional		$254.17	$346.11	$563.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.19 / $406.67 / $523.58	Facility		$346.19	$406.67	$523.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $346.19 / $508.34	Professional		$346.19	$346.19	$508.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $386.34 / $508.34 / $796.39	Facility		$386.34	$508.34	$796.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $386.34 / $415.43 / $809.84	Professional		$386.34	$415.43	$809.84
United Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Facility		$346.11	$346.11	$346.11
United Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $356.49	Professional		$346.11	$346.11	$356.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $346.19 / $346.19 / $346.19	Facility		$346.19	$346.19	$346.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $346.19 / $346.19	Professional		$346.19	$346.19	$346.19