Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.47 / $520.62 / $520.62	Facility		$441.47	$520.62	$520.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $316.91 / $462.03	Professional		$219.81	$316.91	$462.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $624.64	Facility		$402.09	$402.09	$624.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $720.75 / $900.94	Professional		$402.09	$720.75	$900.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $528.33 / $621.55 / $668.62	Professional		$528.33	$621.55	$668.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $362.13 / $738.21 / $2,775.01	Facility		$362.13	$738.21	$2,775.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.47 / $362.73 / $775.85	Professional		$271.47	$362.73	$775.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $622.80 / $624.64 / $801.58	Facility		$622.80	$624.64	$801.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $517.25 / $738.21 / $1,193.67	Professional		$517.25	$738.21	$1,193.67
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.24 / $297.11 / $668.08	Professional		$263.24	$297.11	$668.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $556.49 / $556.49 / $556.49	Facility		$556.49	$556.49	$556.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $439.63 / $556.49 / $556.49	Professional		$439.63	$556.49	$556.49