Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.33 / $290.33 / $307.35	Facility		$290.33	$290.33	$307.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.85 / $224.20 / $375.24	Professional		$167.85	$224.20	$375.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $457.40	Facility		$233.26	$233.26	$457.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.80 / $484.50 / $605.63	Professional		$390.80	$484.50	$605.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $395.03 / $417.86 / $440.40	Professional		$395.03	$417.86	$440.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $261.20 / $493.58 / $1,945.90	Facility		$261.20	$493.58	$1,945.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $215.24 / $567.08	Professional		$186.23	$215.24	$567.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $456.06 / $457.40 / $567.08	Facility		$456.06	$457.40	$567.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $374.63 / $534.29 / $874.08	Professional		$374.63	$534.29	$874.08
United Facility/Professional Professional Modifier Low / Median / High Price $184.57 / $207.44 / $543.22	Professional		$184.57	$207.44	$543.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $407.50 / $407.50 / $407.50	Facility		$407.50	$407.50	$407.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $321.93 / $407.50 / $407.50	Professional		$321.93	$407.50	$407.50