Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.30 / $209.30 / $219.15	Facility		$209.30	$209.30	$219.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.81 / $180.92 / $269.04	Professional		$124.81	$180.92	$269.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $418.35	Facility		$188.22	$188.22	$418.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.22 / $349.13 / $436.41	Professional		$188.22	$349.13	$436.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $294.17 / $362.00 / $385.35	Professional		$294.17	$362.00	$385.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.92 / $437.88 / $1,633.27	Facility		$238.92	$437.88	$1,633.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $189.74 / $498.87	Professional		$150.28	$189.74	$498.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $417.13 / $418.35 / $501.40	Facility		$417.13	$418.35	$501.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $337.01 / $457.61 / $799.49	Professional		$337.01	$457.61	$799.49
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $189.74 / $438.31	Professional		$148.94	$189.74	$438.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $372.71 / $372.71 / $372.71	Facility		$372.71	$372.71	$372.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $294.44 / $372.71 / $372.71	Professional		$294.44	$372.71	$372.71