Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.58 / $399.33 / $399.33	Facility		$295.58	$399.33	$399.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $244.01 / $420.44	Professional		$181.43	$244.01	$420.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $446.89	Facility		$280.67	$280.67	$446.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.67 / $552.75 / $690.94	Professional		$280.67	$552.75	$690.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $394.02 / $483.64 / $580.57	Professional		$394.02	$483.64	$580.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.08 / $535.60 / $2,155.56	Facility		$259.08	$535.60	$2,155.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.87 / $270.24 / $555.07	Professional		$200.87	$270.24	$555.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $446.89 / $453.18 / $617.17	Facility		$446.89	$453.18	$617.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $366.01 / $528.14 / $854.01	Professional		$366.01	$528.14	$854.01
United Facility/Professional Professional Modifier Low / Median / High Price $200.87 / $228.76 / $478.08	Professional		$200.87	$228.76	$478.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $398.13 / $398.13 / $398.13	Facility		$398.13	$398.13	$398.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $314.52 / $398.13 / $398.13	Professional		$314.52	$398.13	$398.13