Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.09 / $632.39 / $632.39	Facility		$517.09	$632.39	$632.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $379.58 / $582.41	Professional		$268.00	$379.58	$582.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $820.84	Facility		$394.91	$394.91	$820.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.91 / $875.25 / $1,094.06	Professional		$394.91	$875.25	$1,094.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $643.35 / $755.01 / $841.34	Professional		$643.35	$755.01	$841.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.87 / $960.10 / $3,305.62	Facility		$475.87	$960.10	$3,305.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $355.85 / $453.97 / $1,019.54	Professional		$355.85	$453.97	$1,019.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $818.44 / $820.84 / $983.79	Facility		$818.44	$820.84	$983.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $672.26 / $958.85 / $1,568.60	Professional		$672.26	$958.85	$1,568.60
United Facility/Professional Professional Modifier Low / Median / High Price $355.85 / $376.10 / $877.95	Professional		$355.85	$376.10	$877.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $731.30 / $731.30 / $731.30	Facility		$731.30	$731.30	$731.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $577.73 / $731.30 / $731.30	Professional		$577.73	$731.30	$731.30