Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $457.09 / $645.65	Facility		$416.87	$457.09	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $501.19	Professional		$245.47	$363.08	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $660.69	Facility		$489.78	$489.78	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $891.25 / $1,096.48	Professional		$489.78	$891.25	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $812.83	Professional		$562.34	$758.58	$812.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $758.58 / $3,090.30	Facility		$398.11	$758.58	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $1,096.48	Professional		$288.40	$426.58	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $870.96	Professional		$645.65	$676.08	$870.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $977.24	Professional		$660.69	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $436.52 / $933.25	Facility		$281.84	$436.52	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $316.23 / $562.34	Professional		$288.40	$316.23	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $575.44	Professional		$457.09	$575.44	$575.44