Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $134.90 / $134.90	Facility		$66.07	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $83.18	Professional		$56.23	$64.57	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $134.90	Professional		$81.28	$102.33	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $109.65	Professional		$61.66	$75.86	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $89.13 / $371.54	Facility		$60.26	$89.13	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $467.74	Professional		$79.43	$117.49	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $309.03	Professional		$95.50	$134.90	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $177.83	Professional		$77.62	$100.00	$177.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $104.71	Professional		$89.13	$89.13	$104.71