Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $432.00	Facility		$407.96	$407.96	$432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.86 / $322.33 / $489.37	Professional		$220.86	$322.33	$489.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $590.33	Facility		$335.34	$335.34	$590.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.34 / $680.63 / $850.78	Professional		$335.34	$680.63	$850.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $509.83 / $600.45 / $650.69	Professional		$509.83	$600.45	$650.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.13 / $690.03 / $2,852.46	Facility		$337.13	$690.03	$2,852.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.56 / $302.48 / $733.23	Professional		$256.56	$302.48	$733.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $588.60 / $590.33 / $815.28	Facility		$588.60	$590.33	$815.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $506.15 / $697.66 / $1,128.10	Professional		$506.15	$697.66	$1,128.10
United Facility/Professional Professional Modifier Low / Median / High Price $256.56 / $276.66 / $631.51	Professional		$256.56	$276.66	$631.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $525.92 / $525.92 / $525.92	Facility		$525.92	$525.92	$525.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $415.48 / $525.92 / $525.92	Professional		$415.48	$525.92	$525.92