Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.06 / $378.70 / $378.70	Facility		$297.06	$378.70	$378.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $220.77 / $355.54	Professional		$153.31	$220.77	$355.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $501.08	Facility		$292.48	$292.48	$501.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.48 / $524.25 / $655.30	Professional		$292.48	$524.25	$655.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $387.20 / $452.13 / $488.52	Professional		$387.20	$452.13	$488.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.50 / $582.28 / $1,897.69	Facility		$290.50	$582.28	$1,897.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.12 / $271.60 / $622.38	Professional		$210.12	$271.60	$622.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $499.62 / $501.08 / $600.54	Facility		$499.62	$501.08	$600.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $403.63 / $552.85 / $957.55	Professional		$403.63	$552.85	$957.55
United Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $234.83 / $535.99	Professional		$204.92	$234.83	$535.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $446.42 / $446.42 / $446.42	Facility		$446.42	$446.42	$446.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $352.67 / $446.42 / $446.42	Professional		$352.67	$446.42	$446.42