Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.10 / $525.04 / $525.04	Facility		$461.10	$525.04	$525.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.54 / $336.32 / $529.78	Professional		$262.54	$336.32	$529.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.51 / $405.51 / $686.14	Facility		$405.51	$405.51	$686.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.51 / $726.75 / $908.44	Professional		$405.51	$726.75	$908.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $595.51 / $729.35 / $948.02	Professional		$595.51	$729.35	$948.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.78 / $810.89 / $2,919.01	Facility		$397.78	$810.89	$2,919.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $390.25 / $852.23	Professional		$298.19	$390.25	$852.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $684.13 / $686.14 / $850.69	Facility		$684.13	$686.14	$850.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $561.94 / $801.50 / $1,311.17	Professional		$561.94	$801.50	$1,311.17
United Facility/Professional Professional Modifier Low / Median / High Price $308.41 / $311.18 / $742.51	Professional		$308.41	$311.18	$742.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $611.28 / $611.28 / $611.28	Facility		$611.28	$611.28	$611.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $482.91 / $611.28 / $611.28	Professional		$482.91	$611.28	$611.28