Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.10 / $296.10 / $353.50	Facility		$296.10	$296.10	$353.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $278.39 / $441.80	Professional		$210.13	$278.39	$441.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $558.75 / $698.44	Professional		$270.64	$558.75	$698.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $85.50 / $85.50	Professional		$47.00	$85.50	$85.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.30 / $80.00 / $646.91	Facility		$49.30	$80.00	$646.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $30.98 / $702.71	Professional		$24.24	$30.98	$702.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.79 / $58.12 / $134.24	Facility		$56.79	$58.12	$134.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $69.09 / $134.24	Professional		$56.79	$69.09	$134.24
United Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $26.59 / $1,035.50	Professional		$23.23	$26.59	$1,035.50
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $555.02 / $555.02 / $555.02	Facility		$555.02	$555.02	$555.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $438.47 / $555.02 / $555.02	Professional		$438.47	$555.02	$555.02