Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.42 / $326.64 / $326.64	Facility		$271.42	$326.64	$326.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $241.63 / $419.49	Professional		$153.53	$241.63	$419.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $291.02 / $484.06	Facility		$291.02	$291.02	$484.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.02 / $544.88 / $681.09	Professional		$291.02	$544.88	$681.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $399.60 / $478.53 / $518.57	Professional		$399.60	$478.53	$518.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.44 / $555.30 / $2,011.56	Facility		$276.44	$555.30	$2,011.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.11 / $221.39 / $601.25	Professional		$186.11	$221.39	$601.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $482.65 / $484.06 / $580.15	Facility		$482.65	$484.06	$580.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $391.00 / $565.45 / $925.05	Professional		$391.00	$565.45	$925.05
United Facility/Professional Facility Modifier Low / Median / High Price $153.72 / $184.46 / $221.39	Facility		$153.72	$184.46	$221.39
United Facility/Professional Professional Modifier Low / Median / High Price $184.46 / $219.54 / $577.21	Professional		$184.46	$219.54	$577.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $431.25 / $431.25 / $431.25	Facility		$431.25	$431.25	$431.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $340.69 / $431.25 / $431.25	Professional		$340.69	$431.25	$431.25