Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $65.25 / $69.20	Facility		$65.25	$65.25	$69.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $50.40 / $84.34	Professional		$37.72	$50.40	$84.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $102.81	Facility		$58.60	$58.60	$102.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $108.75 / $135.94	Professional		$58.60	$108.75	$135.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $93.91 / $99.09	Professional		$88.79	$93.91	$99.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.71 / $110.93 / $437.39	Facility		$58.71	$110.93	$437.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $48.38 / $127.48	Professional		$41.86	$48.38	$127.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.51 / $102.81 / $127.48	Facility		$102.51	$102.81	$127.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $120.10 / $196.47	Professional		$84.22	$120.10	$196.47
United Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $46.63 / $122.08	Professional		$41.49	$46.63	$122.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $91.59 / $91.59 / $91.59	Facility		$91.59	$91.59	$91.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $91.59 / $91.59	Professional		$72.36	$91.59	$91.59