Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.21 / $130.15 / $130.15	Facility		$102.21	$130.15	$130.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $88.25 / $129.01	Professional		$59.26	$88.25	$129.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $154.54	Facility		$89.11	$89.11	$154.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $217.13 / $271.41	Professional		$89.11	$217.13	$271.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.71 / $155.32 / $187.31	Professional		$133.71	$155.32	$187.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.25 / $180.51 / $757.36	Facility		$88.25	$180.51	$757.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $79.79 / $191.94	Professional		$67.16	$79.79	$191.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.08 / $154.54 / $213.42	Facility		$154.08	$154.54	$213.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $182.64 / $295.30	Professional		$126.56	$182.64	$295.30
United Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $70.09 / $184.27	Professional		$69.45	$70.09	$184.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $137.68 / $137.68 / $137.68	Facility		$137.68	$137.68	$137.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $137.68 / $137.68	Professional		$108.77	$137.68	$137.68