Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.73 / $113.66 / $119.66	Facility		$89.73	$113.66	$119.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $74.59 / $99.46	Professional		$58.14	$74.59	$99.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $142.37 / $177.96	Professional		$142.37	$142.37	$177.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.19 / $109.74 / $196.87	Professional		$74.19	$109.74	$196.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $159.46 / $363.31	Facility		$64.59	$159.46	$363.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $116.45 / $202.15	Professional		$87.79	$116.45	$202.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $159.46 / $171.29	Facility		$116.45	$159.46	$171.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $158.00 / $222.00	Professional		$96.43	$158.00	$222.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $100.12 / $196.81	Professional		$79.58	$100.12	$196.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $113.60 / $113.60	Professional		$96.60	$113.60	$113.60