Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.84 / $800.84 / $1,266.47	Facility		$800.84	$800.84	$1,266.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $800.84	Professional		$572.96	$572.96	$800.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.89 / $632.33 / $671.11	Professional		$536.89	$632.33	$671.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $458.37 / $510.50 / $1,087.94	Professional		$458.37	$510.50	$1,087.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $462.64 / $563.79 / $952.81	Facility		$462.64	$563.79	$952.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $563.79 / $676.55	Professional		$563.79	$563.79	$676.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $632.33 / $800.25 / $1,285.74	Facility		$632.33	$800.25	$1,285.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $632.33 / $676.55 / $1,436.32	Professional		$632.33	$676.55	$1,436.32
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $590.15	Professional		$572.96	$572.96	$590.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $563.79 / $563.79	Facility		$563.79	$563.79	$563.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $563.79 / $563.79	Professional		$563.79	$563.79	$563.79