Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.47 / $310.47 / $357.52	Facility		$310.47	$310.47	$357.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $222.62 / $361.27	Professional		$165.53	$222.62	$361.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $543.65	Facility		$239.78	$239.78	$543.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.78 / $429.75 / $543.65	Professional		$239.78	$429.75	$543.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $370.68 / $456.74 / $494.23	Professional		$370.68	$456.74	$494.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.18 / $593.08 / $1,982.96	Facility		$315.18	$593.08	$1,982.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.97 / $277.39 / $647.72	Professional		$219.97	$277.39	$647.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $542.05 / $543.65 / $651.58	Facility		$542.05	$543.65	$651.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $425.50 / $585.46 / $1,038.92	Professional		$425.50	$585.46	$1,038.92
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $213.72 / $246.57 / $647.72	Professional		$213.72	$246.57	$647.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $484.35 / $484.35 / $484.35	Facility		$484.35	$484.35	$484.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $382.64 / $484.35 / $484.35	Professional		$382.64	$484.35	$484.35