Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $316.23	Facility		$269.15	$269.15	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $380.19	Professional		$177.83	$229.09	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $478.63	Facility		$251.19	$251.19	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $616.60	Professional		$251.19	$501.19	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $457.09	Professional		$363.08	$426.58	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $512.86 / $1,995.26	Facility		$295.12	$512.86	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $707.95	Professional		$190.55	$263.03	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $588.84	Professional		$467.74	$489.78	$588.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $707.95	Professional		$436.52	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $316.23 / $630.96	Facility		$147.91	$316.23	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $389.05	Professional		$190.55	$213.80	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $416.87	Professional		$331.13	$416.87	$416.87