Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.93 / $458.99 / $458.99	Facility		$363.93	$458.99	$458.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.80 / $267.57 / $410.10	Professional		$181.80	$267.57	$410.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $577.97	Facility		$366.26	$366.26	$577.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.26 / $635.25 / $794.06	Professional		$366.26	$635.25	$794.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $448.75 / $525.42 / $549.88	Professional		$448.75	$525.42	$549.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.08 / $675.16 / $2,323.85	Facility		$335.08	$675.16	$2,323.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.72 / $319.64 / $717.90	Professional		$245.72	$319.64	$717.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $577.97 / $692.71	Facility		$576.29	$577.97	$692.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $465.59 / $662.97 / $1,104.51	Professional		$465.59	$662.97	$1,104.51
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $270.87 / $618.25	Professional		$251.19	$270.87	$618.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $514.91 / $514.91 / $514.91	Facility		$514.91	$514.91	$514.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $406.79 / $514.91 / $514.91	Professional		$406.79	$514.91	$514.91