Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.25 / $136.25 / $164.30	Facility		$136.25	$136.25	$164.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $128.97 / $189.74	Professional		$94.77	$128.97	$189.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $319.10	Facility		$126.72	$126.72	$319.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $207.75 / $265.38	Professional		$126.72	$207.75	$265.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $17.75 / $19.82	Professional		$16.86	$17.75	$19.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.40 / $376.16 / $908.34	Facility		$75.40	$376.16	$908.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $171.11 / $330.48	Professional		$112.66	$171.11	$330.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.90 / $31.90 / $75.40	Facility		$31.90	$31.90	$75.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $38.15 / $75.40	Professional		$31.70	$38.15	$75.40
United Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $142.59 / $308.54	Professional		$112.66	$142.59	$308.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.25 / $261.08 / $261.08	Professional		$206.25	$261.08	$261.08