Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.35 / $266.39 / $266.39	Facility		$251.35	$266.39	$266.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $207.50 / $308.56	Professional		$143.13	$207.50	$308.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $399.52	Facility		$215.87	$215.87	$399.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $444.38 / $555.47	Professional		$215.87	$444.38	$555.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $337.92 / $383.40 / $412.87	Professional		$337.92	$383.40	$412.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.16 / $460.34 / $1,848.60	Facility		$228.16	$460.34	$1,848.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.82 / $194.72 / $496.25	Professional		$170.82	$194.72	$496.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $398.36 / $399.52 / $524.84	Facility		$398.36	$399.52	$524.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $327.24 / $472.16 / $763.49	Professional		$327.24	$472.16	$763.49
United Facility/Professional Professional Modifier Low / Median / High Price $170.82 / $181.20 / $476.41	Professional		$170.82	$181.20	$476.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $355.94 / $355.94 / $355.94	Facility		$355.94	$355.94	$355.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.19 / $355.94 / $355.94	Professional		$281.19	$355.94	$355.94