Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.43 / $714.43 / $1,114.73	Facility		$714.43	$714.43	$1,114.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.43 / $315.43 / $500.50	Professional		$315.43	$315.43	$500.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $184.53 / $189.91	Facility		$179.16	$184.53	$189.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.90 / $109.92	Professional		$3.92	$4.90	$109.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $571.13 / $694.50	Professional		$150.00	$571.13	$694.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $133.13 / $533.08	Facility		$91.68	$133.13	$533.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $104.63 / $124.91	Professional		$104.63	$104.63	$124.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.91 / $184.53 / $189.91	Facility		$124.91	$184.53	$189.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $124.91 / $124.91	Professional		$104.63	$124.91	$124.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.16 / $104.00 / $104.00	Professional		$82.16	$104.00	$104.00