Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.73 / $814.73 / $854.95	Facility		$814.73	$814.73	$854.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.87 / $570.91 / $814.73	Professional		$408.87	$570.91	$814.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $999.68	Facility		$567.88	$567.88	$999.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.68 / $1,359.38 / $1,699.22	Professional		$999.68	$1,359.38	$1,699.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $865.01 / $943.20 / $1,172.57	Professional		$865.01	$943.20	$1,172.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $570.91 / $1,181.44 / $4,877.45	Facility		$570.91	$1,181.44	$4,877.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.47 / $512.23 / $1,241.68	Professional		$434.47	$512.23	$1,241.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $999.68 / $1,002.00 / $1,380.60	Facility		$999.68	$1,002.00	$1,380.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $905.14 / $1,181.44 / $1,910.37	Professional		$905.14	$1,181.44	$1,910.37
United Facility/Professional Professional Modifier Low / Median / High Price $443.93 / $453.39 / $1,069.29	Professional		$443.93	$453.39	$1,069.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $890.62 / $890.62 / $890.62	Facility		$890.62	$890.62	$890.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $703.59 / $890.62 / $890.62	Professional		$703.59	$890.62	$890.62