Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.84 / $314.87 / $314.87	Facility		$254.84	$314.87	$314.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $210.38 / $314.87	Professional		$145.91	$210.38	$314.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $513.72	Facility		$243.19	$243.19	$513.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.19 / $435.75 / $544.69	Professional		$243.19	$435.75	$544.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $373.62 / $467.02 / $527.46	Professional		$373.62	$467.02	$527.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $297.83 / $560.41 / $1,857.26	Facility		$297.83	$560.41	$1,857.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.86 / $262.12 / $612.07	Professional		$207.86	$262.12	$612.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $512.22 / $513.72 / $615.69	Facility		$512.22	$513.72	$615.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $553.24 / $981.72	Professional		$402.08	$553.24	$981.72
United Facility/Professional Professional Modifier Low / Median / High Price $223.27 / $232.99 / $488.70	Professional		$223.27	$232.99	$488.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $457.68 / $457.68 / $457.68	Facility		$457.68	$457.68	$457.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $361.57 / $457.68 / $457.68	Professional		$361.57	$457.68	$457.68