Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $234.42 / $758.58	Facility		$194.98	$234.42	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $524.81	Professional		$134.90	$177.83	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $354.81	Facility		$177.83	$177.83	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $457.09	Professional		$181.97	$363.08	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $354.81	Professional		$269.15	$323.59	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $1,479.11	Facility		$213.80	$371.54	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $524.81	Professional		$141.25	$190.55	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $363.08 / $426.58	Professional		$346.74	$363.08	$426.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $524.81	Professional		$323.59	$524.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $234.42 / $457.09	Facility		$109.65	$234.42	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $288.40	Professional		$141.25	$158.49	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $302.00	Professional		$234.42	$302.00	$302.00