Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.41 / $105.41 / $192.92	Facility		$105.41	$105.41	$192.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $105.41	Professional		$87.28	$87.28	$105.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.91 / $88.91 / $88.91	Facility		$88.91	$88.91	$88.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $87.50 / $108.00	Professional		$86.40	$87.50	$108.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $157.97	Professional		$87.28	$87.28	$157.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $101.76 / $130.60	Facility		$1.00	$101.76	$130.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $86.94 / $101.76	Professional		$86.94	$86.94	$101.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $101.76 / $104.33	Facility		$1.00	$101.76	$104.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $101.76 / $104.33	Professional		$99.43	$101.76	$104.33
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $89.03	Professional		$87.28	$87.28	$89.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $86.94 / $86.94	Facility		$86.94	$86.94	$86.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $86.94 / $86.94	Professional		$86.94	$86.94	$86.94