Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.14 / $90.14 / $179.74	Facility		$90.14	$90.14	$179.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $90.14 / $5,512.65	Professional		$78.80	$90.14	$5,512.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.54 / $82.54 / $103.17	Professional		$82.54	$82.54	$103.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $83.31 / $256.45	Professional		$63.04	$83.31	$256.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $88.39 / $105.86	Facility		$43.00	$88.39	$105.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $85.79 / $105.86	Professional		$69.45	$85.79	$105.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $122.15 / $164.85	Facility		$43.00	$122.15	$164.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $92.83 / $122.15	Professional		$37.32	$92.83	$122.15
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $82.74 / $88.26	Professional		$78.80	$82.74	$88.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Professional		$81.70	$81.70	$81.70