Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.70 / $232.70 / $319.95	Facility		$232.70	$232.70	$319.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $207.64 / $321.86	Professional		$133.34	$207.64	$321.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $403.60	Facility		$312.30	$312.30	$403.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.30 / $334.50 / $418.13	Professional		$312.30	$334.50	$418.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $249.71 / $461.26 / $499.85	Professional		$249.71	$461.26	$499.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.64 / $475.25 / $1,271.08	Facility		$207.64	$475.25	$1,271.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $244.99 / $600.72	Professional		$208.12	$244.99	$600.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $403.60 / $436.28 / $551.12	Facility		$403.60	$436.28	$551.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $403.60 / $482.60 / $850.73	Professional		$403.60	$482.60	$850.73
United Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $219.35 / $380.10	Professional		$208.12	$219.35	$380.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $359.57 / $359.57 / $359.57	Facility		$359.57	$359.57	$359.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $284.06 / $359.57 / $359.57	Professional		$284.06	$359.57	$359.57