Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.79 / $119.79 / $141.88	Facility		$119.79	$119.79	$141.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $115.88 / $162.77	Professional		$73.65	$115.88	$162.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $83.15 / $239.66	Facility		$83.15	$83.15	$239.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $187.23 / $285.94	Professional		$83.15	$187.23	$285.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $19.75 / $20.50	Professional		$16.39	$19.75	$20.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $239.93 / $970.44	Facility		$27.97	$239.93	$970.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $106.61 / $272.70	Professional		$76.72	$106.61	$272.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.95 / $23.94 / $56.58	Facility		$21.95	$23.94	$56.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.42 / $56.58	Professional		$21.88	$27.42	$56.58
United Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $106.61 / $272.70	Professional		$92.06	$106.61	$272.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $196.08 / $196.08	Professional		$154.90	$196.08	$196.08