Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.96 / $1,191.50 / $1,947.57	Facility		$790.96	$1,191.50	$1,947.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $666.86 / $1,191.50	Professional		$529.26	$666.86	$1,191.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.63 / $548.63 / $685.78	Professional		$548.63	$548.63	$685.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $841.80 / $1,794.00	Professional		$529.26	$841.80	$1,794.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $631.65 / $1,191.50	Facility		$524.02	$631.65	$1,191.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.02 / $524.02 / $789.56	Professional		$524.02	$524.02	$789.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $628.82 / $789.57 / $1,052.76	Facility		$628.82	$789.57	$1,052.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $600.07 / $646.17 / $789.56	Professional		$600.07	$646.17	$789.56
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $539.85	Professional		$529.26	$529.26	$539.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $524.02 / $524.02 / $524.02	Facility		$524.02	$524.02	$524.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $524.02 / $524.02 / $524.02	Professional		$524.02	$524.02	$524.02