Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.88 / $233.88 / $369.89	Facility		$233.88	$233.88	$369.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $233.88 / $6,359.85	Professional		$164.59	$233.88	$6,359.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.70 / $167.70 / $167.70	Facility		$167.70	$167.70	$167.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.39 / $177.81 / $207.98	Professional		$166.39	$177.81	$207.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $164.59 / $374.21	Professional		$142.66	$164.59	$374.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $195.96 / $251.48	Facility		$168.13	$195.96	$251.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $168.13 / $239.70	Professional		$168.13	$168.13	$239.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $195.96 / $248.84 / $389.84	Facility		$195.96	$248.84	$389.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $189.12 / $201.76 / $434.75	Professional		$189.12	$201.76	$434.75
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $169.53	Professional		$164.59	$164.59	$169.53
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $168.13 / $168.13	Facility		$168.13	$168.13	$168.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $168.13 / $168.13	Professional		$168.13	$168.13	$168.13