Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.10 / $364.10 / $421.68	Facility		$364.10	$364.10	$421.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.09 / $261.08 / $365.41	Professional		$181.09	$261.08	$365.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $478.17	Facility		$281.20	$281.20	$478.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $504.00 / $630.00	Professional		$281.20	$504.00	$630.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $421.60 / $473.80 / $568.76	Professional		$421.60	$473.80	$568.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.20 / $565.11 / $2,291.37	Facility		$277.20	$565.11	$2,291.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.93 / $289.14 / $593.91	Professional		$214.93	$289.14	$593.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $476.77 / $478.17 / $660.37	Facility		$476.77	$478.17	$660.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $428.00 / $558.55 / $913.78	Professional		$428.00	$558.55	$913.78
United Facility/Professional Professional Modifier Low / Median / High Price $214.93 / $250.64 / $569.70	Professional		$214.93	$250.64	$569.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $426.01 / $426.01 / $426.01	Facility		$426.01	$426.01	$426.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $426.01 / $426.01	Professional		$336.55	$426.01	$426.01