Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $222.61 / $311.38	Facility		$114.43	$222.61	$311.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $75.52 / $75.52	Professional		$75.52	$75.52	$75.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $208.24 / $260.30	Professional		$131.75	$208.24	$260.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $150.00 / $200.25	Professional		$97.27	$150.00	$200.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $162.10 / $543.54	Facility		$137.32	$162.10	$543.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $68.66 / $289.39	Professional		$68.66	$68.66	$289.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $137.43 / $192.36 / $292.94	Facility		$137.43	$192.36	$292.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $200.25 / $295.29	Professional		$137.32	$200.25	$295.29
United Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $68.66 / $234.30	Professional		$68.66	$68.66	$234.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $114.43 / $114.43	Professional		$90.40	$114.43	$114.43