Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.64 / $793.64 / $824.92	Facility		$793.64	$793.64	$824.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $525.74 / $766.49	Professional		$364.65	$525.74	$766.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $1,012.24	Facility		$612.94	$612.94	$1,012.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.94 / $1,098.38 / $1,372.97	Professional		$612.94	$1,098.38	$1,372.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $875.36 / $947.52 / $1,144.59	Professional		$875.36	$947.52	$1,144.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $586.84 / $1,196.29 / $4,719.35	Facility		$586.84	$1,196.29	$4,719.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $439.93 / $587.82 / $1,257.29	Professional		$439.93	$587.82	$1,257.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,009.29 / $1,012.24 / $1,329.80	Facility		$1,009.29	$1,012.24	$1,329.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $916.51 / $1,183.75 / $1,934.39	Professional		$916.51	$1,183.75	$1,934.39
United Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $432.81 / $657.98	Facility		$0.70	$432.81	$657.98
United Facility/Professional Professional Modifier Low / Median / High Price $438.62 / $474.39 / $1,082.76	Professional		$438.62	$474.39	$1,082.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $901.82 / $901.82 / $901.82	Facility		$901.82	$901.82	$901.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $712.44 / $901.82 / $901.82	Professional		$712.44	$901.82	$901.82