Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.64 / $468.78 / $468.78	Facility		$411.64	$468.78	$468.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $300.27 / $473.03	Professional		$234.42	$300.27	$473.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $612.57	Facility		$362.03	$362.03	$612.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.03 / $648.75 / $810.94	Professional		$362.03	$648.75	$810.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $531.69 / $559.66 / $659.47	Professional		$531.69	$559.66	$659.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $355.13 / $723.94 / $2,615.79	Facility		$355.13	$723.94	$2,615.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.23 / $348.42 / $760.87	Professional		$266.23	$348.42	$760.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $610.79 / $612.57 / $759.51	Facility		$610.79	$612.57	$759.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $501.71 / $715.57 / $1,170.61	Professional		$501.71	$715.57	$1,170.61
United Facility/Professional Professional Modifier Low / Median / High Price $266.23 / $287.08 / $655.26	Professional		$266.23	$287.08	$655.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $545.74 / $545.74 / $545.74	Facility		$545.74	$545.74	$545.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $431.13 / $545.74 / $545.74	Professional		$431.13	$545.74	$545.74