Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $602.56 / $691.83	Facility		$588.84	$602.56	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $602.56	Professional		$302.00	$407.38	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $870.96	Facility		$457.09	$457.09	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,023.29	Professional		$457.09	$812.83	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $977.24	Professional		$676.08	$812.83	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,000.00 / $3,715.35	Facility		$524.81	$1,000.00	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $1,288.25	Professional		$363.08	$537.03	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $1,071.52	Professional		$851.14	$891.25	$1,071.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,288.25	Professional		$812.83	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $549.54 / $1,148.15	Facility		$346.74	$549.54	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $707.95	Professional		$354.81	$398.11	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $758.58	Professional		$602.56	$758.58	$758.58