Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.28 / $219.64 / $219.64	Facility		$198.28	$219.64	$219.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $146.40 / $213.44	Professional		$101.55	$146.40	$213.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $276.83	Facility		$159.21	$159.21	$276.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $304.13 / $380.16	Professional		$159.21	$304.13	$380.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $243.76 / $270.61 / $331.59	Professional		$243.76	$270.61	$331.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.49 / $327.17 / $1,295.00	Facility		$160.49	$327.17	$1,295.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $162.13 / $343.86	Professional		$121.61	$162.13	$343.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $276.83 / $370.31	Facility		$276.02	$276.83	$370.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.31 / $327.17 / $529.03	Professional		$232.31	$327.17	$529.03
United Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $140.55 / $296.13	Professional		$121.61	$140.55	$296.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $246.64 / $246.64 / $246.64	Facility		$246.64	$246.64	$246.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.85 / $246.64 / $246.64	Professional		$194.85	$246.64	$246.64