Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $407.38	Facility		$323.59	$323.59	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $371.54	Professional		$186.21	$245.47	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $467.74	Facility		$371.54	$371.54	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $602.56	Professional		$371.54	$489.78	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $977.24 / $1,174.90	Professional		$398.11	$977.24	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $457.09 / $2,187.76	Facility		$288.40	$457.09	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $707.95	Professional		$208.93	$309.03	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $630.96	Professional		$457.09	$478.63	$630.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $707.95	Professional		$478.63	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $295.12 / $346.74	Facility		$173.78	$295.12	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $389.05	Professional		$208.93	$223.87	$389.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $407.38	Professional		$323.59	$407.38	$407.38