Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $186.21 / $239.88	Facility		$70.79	$186.21	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $281.84	Professional		$61.66	$89.13	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $177.83	Facility		$50.12	$64.57	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $302.00	Professional		$109.65	$239.88	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $295.12	Professional		$102.33	$141.25	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $295.12	Facility		$70.79	$120.23	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $302.00	Professional		$102.33	$169.82	$302.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $346.74	Professional		$181.97	$218.78	$346.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $295.12	Professional		$186.21	$186.21	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $123.03 / $173.78	Facility		$112.20	$123.03	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $234.42	Professional		$97.72	$144.54	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $223.87	Professional		$190.55	$190.55	$223.87