Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.76 / $575.54 / $575.54	Facility		$557.76	$575.54	$575.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.52 / $345.33 / $551.02	Professional		$239.52	$345.33	$551.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $776.59	Facility		$444.49	$444.49	$776.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.49 / $796.50 / $995.63	Professional		$444.49	$796.50	$995.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $600.09 / $705.99 / $801.70	Professional		$600.09	$705.99	$801.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $450.22 / $907.16 / $2,994.68	Facility		$450.22	$907.16	$2,994.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $325.64 / $418.01 / $964.59	Professional		$325.64	$418.01	$964.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $774.32 / $776.59 / $930.74	Facility		$774.32	$776.59	$930.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $643.00 / $873.47 / $1,484.04	Professional		$643.00	$873.47	$1,484.04
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.64 / $352.21 / $830.66	Professional		$325.64	$352.21	$830.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $691.87 / $691.87 / $691.87	Facility		$691.87	$691.87	$691.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $546.58 / $691.87 / $691.87	Professional		$546.58	$691.87	$691.87