Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.25 / $597.25 / $607.23	Facility		$597.25	$597.25	$607.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.64 / $407.50 / $594.12	Professional		$282.64	$407.50	$594.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $800.91	Facility		$472.30	$472.30	$800.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.30 / $826.50 / $1,033.13	Professional		$472.30	$826.50	$1,033.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $678.50 / $728.10 / $877.92	Professional		$678.50	$728.10	$877.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $464.32 / $946.53 / $3,612.91	Facility		$464.32	$946.53	$3,612.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $348.08 / $465.09 / $994.79	Professional		$348.08	$465.09	$994.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $798.57 / $800.91 / $1,030.74	Facility		$798.57	$800.91	$1,030.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.00 / $935.58 / $1,530.51	Professional		$707.00	$935.58	$1,530.51
United Facility/Professional Professional Modifier Low / Median / High Price $348.08 / $382.04 / $693.02	Professional		$348.08	$382.04	$693.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $713.54 / $713.54 / $713.54	Facility		$713.54	$713.54	$713.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $563.70 / $713.54 / $713.54	Professional		$563.70	$713.54	$713.54