Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.62 / $286.23 / $286.23	Facility		$231.62	$286.23	$286.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $191.21 / $286.23	Professional		$140.52	$191.21	$286.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $350.19	Facility		$221.07	$221.07	$350.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.07 / $396.00 / $495.00	Professional		$221.07	$396.00	$495.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $308.76 / $359.19 / $440.14	Professional		$308.76	$359.19	$440.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.02 / $419.70 / $1,741.43	Facility		$203.02	$419.70	$1,741.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $211.77 / $434.97	Professional		$157.41	$211.77	$434.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $349.16 / $350.19 / $483.63	Facility		$349.16	$350.19	$483.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $286.81 / $413.86 / $669.21	Professional		$286.81	$413.86	$669.21
United Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $180.81 / $374.66	Professional		$152.19	$180.81	$374.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $311.98 / $311.98 / $311.98	Facility		$311.98	$311.98	$311.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $246.46 / $311.98 / $311.98	Professional		$246.46	$311.98	$311.98