Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $275.42 / $316.23	Facility		$263.03	$275.42	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $457.09	Professional		$154.88	$229.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $234.42 / $512.86	Facility		$223.87	$234.42	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $549.54	Professional		$234.42	$436.52	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $524.81	Professional		$363.08	$446.68	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $524.81 / $1,995.26	Facility		$309.03	$524.81	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $758.58	Professional		$190.55	$275.42	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $588.84	Professional		$501.19	$524.81	$588.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $758.58	Professional		$436.52	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $616.60	Facility		$144.54	$251.19	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $398.11	Professional		$186.21	$229.09	$398.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $436.52	Professional		$338.84	$436.52	$436.52