Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.98 / $122.98 / $147.35	Facility		$122.98	$122.98	$147.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $114.45 / $168.87	Professional		$78.39	$114.45	$168.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.73 / $175.42	Facility		$112.00	$112.73	$175.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $221.25 / $391.46	Professional		$112.00	$221.25	$391.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $19.41 / $277.44	Professional		$19.41	$19.41	$277.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $256.92 / $955.82	Facility		$29.35	$256.92	$955.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $106.26 / $225.05	Professional		$75.25	$106.26	$225.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $25.23 / $59.64	Facility		$25.23	$25.23	$59.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $30.16 / $59.64	Professional		$25.05	$30.16	$59.64
United Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $100.34 / $209.23	Professional		$76.29	$100.34	$209.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $163.10 / $206.46 / $206.46	Professional		$163.10	$206.46	$206.46