Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.12 / $166.12 / $208.10	Facility		$166.12	$166.12	$208.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $134.12 / $212.56	Professional		$110.76	$134.12	$212.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.68 / $401.63 / $502.03	Professional		$210.68	$401.63	$502.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.75 / $308.29 / $329.76	Professional		$299.75	$308.29	$329.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.12 / $453.00 / $1,166.45	Facility		$134.12	$453.00	$1,166.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $168.23 / $421.63	Professional		$129.25	$168.23	$421.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.44 / $319.74 / $506.01	Facility		$268.44	$319.74	$506.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $389.02 / $550.05	Professional		$267.12	$389.02	$550.05
United Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $133.74 / $332.82	Professional		$129.25	$133.74	$332.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $216.88 / $216.88 / $216.88	Facility		$216.88	$216.88	$216.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.34 / $216.88 / $216.88	Professional		$171.34	$216.88	$216.88