Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.20 / $550.20 / $1,070.14	Facility		$550.20	$550.20	$1,070.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $550.20 / $948.18	Professional		$484.14	$550.20	$948.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.28 / $493.28 / $493.28	Facility		$493.28	$493.28	$493.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.61 / $478.61 / $598.27	Professional		$478.61	$478.61	$598.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.69 / $419.27 / $736.72	Professional		$345.69	$419.27	$736.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $550.20 / $723.40	Facility		$481.57	$550.20	$723.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $481.57 / $481.57 / $704.59	Professional		$481.57	$481.57	$704.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $529.98 / $704.60 / $1,103.86	Facility		$529.98	$704.60	$1,103.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $503.32 / $563.69 / $900.88	Professional		$503.32	$563.69	$900.88
United Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $493.82	Professional		$484.14	$484.14	$493.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $481.57 / $481.57	Facility		$481.57	$481.57	$481.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $481.57 / $481.57 / $481.57	Professional		$481.57	$481.57	$481.57