Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.87 / $740.87 / $744.50	Facility		$740.87	$740.87	$744.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $460.95 / $672.03	Professional		$319.70	$460.95	$672.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $572.20 / $882.79	Facility		$572.20	$572.20	$882.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.20 / $1,025.25 / $1,281.56	Professional		$572.20	$1,025.25	$1,281.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $767.47 / $884.52 / $1,056.64	Professional		$767.47	$884.52	$1,056.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $511.79 / $1,043.30 / $4,009.36	Facility		$511.79	$1,043.30	$4,009.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.67 / $512.64 / $1,096.51	Professional		$383.67	$512.64	$1,096.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $880.22 / $882.79 / $1,165.91	Facility		$880.22	$882.79	$1,165.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $799.31 / $1,041.88 / $1,687.01	Professional		$799.31	$1,041.88	$1,687.01
United Facility/Professional Professional Modifier Low / Median / High Price $383.67 / $432.14 / $944.24	Professional		$383.67	$432.14	$944.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $786.49 / $786.49 / $786.49	Facility		$786.49	$786.49	$786.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $621.33 / $786.49 / $786.49	Professional		$621.33	$786.49	$786.49