Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.99 / $555.12 / $555.12	Facility		$427.99	$555.12	$555.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.39 / $323.61 / $540.02	Professional		$224.39	$323.61	$540.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $761.09	Facility		$393.88	$393.88	$761.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.80 / $768.38 / $960.47	Professional		$619.80	$768.38	$960.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.12 / $669.06 / $743.40	Professional		$588.12	$669.06	$743.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $441.24 / $861.86 / $2,807.91	Facility		$441.24	$861.86	$2,807.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $319.14 / $392.96 / $945.33	Professional		$319.14	$392.96	$945.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $758.87 / $761.09 / $912.17	Facility		$758.87	$761.09	$912.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $613.09 / $819.63 / $1,454.42	Professional		$613.09	$819.63	$1,454.42
United Facility/Professional Professional Modifier Low / Median / High Price $330.77 / $345.18 / $814.07	Professional		$330.77	$345.18	$814.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $678.06 / $678.06 / $678.06	Facility		$678.06	$678.06	$678.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $535.66 / $678.06 / $678.06	Professional		$535.66	$678.06	$678.06