Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $190.55 / $190.55	Facility		$91.20	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $112.20	Professional		$79.43	$89.13	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $190.55	Professional		$114.82	$141.25	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $144.54	Professional		$81.28	$95.50	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $125.89 / $524.81	Facility		$83.18	$125.89	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $660.69	Professional		$109.65	$158.49	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $416.87	Professional		$134.90	$190.55	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $239.88	Professional		$107.15	$138.04	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $147.91	Professional		$125.89	$125.89	$147.91