Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $118.57 / $172.63	Facility		$108.10	$118.57	$172.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $90.86 / $155.38	Professional		$64.83	$90.86	$155.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $159.10	Facility		$115.38	$115.38	$159.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $192.71 / $247.50	Professional		$115.38	$192.71	$247.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $172.27 / $219.09	Professional		$137.66	$172.27	$219.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.86 / $185.85 / $749.92	Facility		$90.86	$185.85	$749.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $80.62 / $197.61	Professional		$69.14	$80.62	$197.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $159.10 / $217.28	Facility		$158.63	$159.10	$217.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $188.03 / $304.04	Professional		$130.30	$188.03	$304.04
United Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $74.56 / $189.71	Professional		$69.14	$74.56	$189.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $141.75 / $141.75 / $141.75	Facility		$141.75	$141.75	$141.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $141.75 / $141.75	Professional		$111.98	$141.75	$141.75