Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.03 / $243.48 / $434.29	Facility		$111.03	$243.48	$434.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $79.31 / $530.00	Professional		$67.98	$79.31	$530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.12 / $186.70 / $233.38	Professional		$118.12	$186.70	$233.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $180.25 / $427.33	Professional		$103.00	$180.25	$427.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $169.56 / $489.25	Facility		$103.00	$169.56	$489.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $106.09 / $280.42	Professional		$61.80	$106.09	$280.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $209.86 / $322.91	Facility		$128.72	$209.86	$322.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $209.86 / $294.39	Professional		$123.70	$209.86	$294.39
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $236.90	Professional		$61.80	$61.80	$236.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $103.00 / $103.00	Professional		$81.37	$103.00	$103.00