Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.63 / $683.87 / $683.87	Facility		$677.63	$683.87	$683.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.99 / $419.54 / $631.11	Professional		$290.99	$419.54	$631.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $889.47	Facility		$555.76	$555.76	$889.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.76 / $946.50 / $1,183.13	Professional		$555.76	$946.50	$1,183.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $698.54 / $816.48 / $985.30	Professional		$698.54	$816.48	$985.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.66 / $1,051.19 / $3,703.71	Facility		$515.66	$1,051.19	$3,703.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.57 / $491.93 / $1,104.81	Professional		$386.57	$491.93	$1,104.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $886.88 / $889.47 / $1,066.04	Facility		$886.88	$889.47	$1,066.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $728.48 / $1,039.03 / $1,699.76	Professional		$728.48	$1,039.03	$1,699.76
United Facility/Professional Professional Modifier Low / Median / High Price $348.49 / $416.86 / $1,059.76	Professional		$348.49	$416.86	$1,059.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $792.44 / $792.44 / $792.44	Facility		$792.44	$792.44	$792.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $626.03 / $792.44 / $792.44	Professional		$626.03	$792.44	$792.44