Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.63 / $794.75 / $794.75	Facility		$661.63	$794.75	$794.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.52 / $481.70 / $747.30	Professional		$355.52	$481.70	$747.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $989.01	Facility		$501.15	$501.15	$989.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.15 / $1,099.88 / $1,374.84	Professional		$501.15	$1,099.88	$1,374.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $854.15 / $948.84 / $1,248.30	Professional		$854.15	$948.84	$1,248.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $573.37 / $1,168.83 / $4,189.30	Facility		$573.37	$1,168.83	$4,189.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $572.58 / $1,228.44	Professional		$429.83	$572.58	$1,228.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $986.12 / $989.01 / $1,218.39	Facility		$986.12	$989.01	$1,218.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $1,155.30 / $1,889.98	Professional		$810.00	$1,155.30	$1,889.98
United Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $463.51 / $1,057.96	Professional		$429.83	$463.51	$1,057.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $881.12 / $881.12 / $881.12	Facility		$881.12	$881.12	$881.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $696.08 / $881.12 / $881.12	Professional		$696.08	$881.12	$881.12