Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $21.31 / $26.65	Facility		$6.03	$21.31	$26.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $7.54 / $11.79	Professional		$7.54	$7.54	$11.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.94 / $709.61 / $730.28	Facility		$688.94	$709.61	$730.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.75 / $422.75 / $480.40	Professional		$422.75	$422.75	$480.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $643.91 / $783.00	Professional		$150.00	$643.91	$783.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $440.09 / $552.17	Facility		$16.88	$440.09	$552.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $402.36 / $402.36 / $480.40	Professional		$402.36	$402.36	$480.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $480.40 / $709.61 / $730.28	Facility		$480.40	$709.61	$730.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $402.36 / $480.40 / $480.40	Professional		$402.36	$480.40	$480.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $171.40 / $171.40	Professional		$135.41	$171.40	$171.40