Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $275.42 / $323.59	Facility		$269.15	$275.42	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $426.58	Professional		$162.18	$239.88	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $489.78	Facility		$288.40	$288.40	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $676.08	Professional		$288.40	$549.54	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $512.86	Professional		$380.19	$478.63	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $501.19 / $1,995.26	Facility		$302.00	$501.19	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $741.31	Professional		$186.21	$269.15	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $575.44	Professional		$478.63	$501.19	$575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $741.31	Professional		$426.58	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $309.03 / $602.56	Facility		$144.54	$309.03	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $407.38	Professional		$186.21	$218.78	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $426.58	Professional		$338.84	$426.58	$426.58