Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.49 / $558.49 / $619.32	Facility		$558.49	$558.49	$619.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $402.30 / $571.98	Professional		$265.33	$402.30	$571.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.16 / $400.16 / $704.45	Facility		$400.16	$400.16	$704.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.16 / $931.88 / $1,164.83	Professional		$400.16	$931.88	$1,164.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $609.54 / $803.78 / $978.06	Professional		$609.54	$803.78	$978.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.30 / $822.89 / $3,392.11	Facility		$402.30	$822.89	$3,392.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.16 / $360.95 / $874.99	Professional		$306.16	$360.95	$874.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $704.45 / $972.88	Facility		$704.00	$704.45	$972.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $637.83 / $832.53 / $1,346.19	Professional		$637.83	$832.53	$1,346.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,024.66 / $1,024.66 / $1,665.07	Facility		$1,024.66	$1,024.66	$1,665.07
United Facility/Professional Professional Modifier Low / Median / High Price $306.16 / $320.01 / $753.44	Professional		$306.16	$320.01	$753.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $627.60 / $627.60 / $627.60	Facility		$627.60	$627.60	$627.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $495.80 / $627.60 / $627.60	Professional		$495.80	$627.60	$627.60