Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.74 / $557.74 / $1,234.42	Facility		$557.74	$557.74	$1,234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.74 / $558.46 / $1,422.45	Professional		$557.74	$558.46	$1,422.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.99 / $568.99 / $568.99	Facility		$568.99	$568.99	$568.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.83 / $573.75 / $691.03	Professional		$552.83	$573.75	$691.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $394.05 / $558.46 / $1,216.52	Professional		$394.05	$558.46	$1,216.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $557.74 / $637.00 / $835.56	Facility		$557.74	$637.00	$835.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $558.55 / $558.55 / $813.33	Professional		$558.55	$558.55	$813.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $640.16 / $813.33 / $1,140.13	Facility		$640.16	$813.33	$1,140.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $568.39 / $651.58 / $1,140.01	Professional		$568.39	$651.58	$1,140.01
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $614.30	Professional		$558.46	$558.46	$614.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $558.55 / $558.55 / $558.55	Facility		$558.55	$558.55	$558.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $558.55 / $558.55 / $558.55	Professional		$558.55	$558.55	$558.55