Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.77 / $513.77 / $1,124.56	Facility		$513.77	$513.77	$1,124.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $513.77 / $1,063.08	Professional		$508.76	$513.77	$1,063.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.36 / $518.36 / $518.36	Facility		$518.36	$518.36	$518.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.03 / $494.03 / $617.53	Professional		$494.03	$494.03	$617.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $307.22 / $508.76 / $920.86	Professional		$307.22	$508.76	$920.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $476.00 / $581.85 / $746.71	Facility		$476.00	$581.85	$746.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $468.37 / $505.51 / $727.38	Professional		$468.37	$505.51	$727.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $448.57 / $606.61 / $872.55	Facility		$448.57	$606.61	$872.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $430.50 / $552.80 / $799.05	Professional		$430.50	$552.80	$799.05
United Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $524.02	Professional		$508.76	$508.76	$524.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $505.51 / $505.51 / $505.51	Facility		$505.51	$505.51	$505.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $505.51 / $505.51 / $505.51	Professional		$505.51	$505.51	$505.51