Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $93.33	Facility		$63.10	$63.10	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $100.00	Professional		$46.77	$63.10	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $114.82	Facility		$87.10	$87.10	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $194.98	Professional		$87.10	$158.49	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $134.90	Professional		$97.72	$114.82	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $537.03	Facility		$69.18	$128.82	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $194.98	Professional		$48.98	$64.57	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $154.88	Professional		$112.20	$114.82	$154.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $169.82	Professional		$117.49	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $69.18 / $165.96	Facility		$38.90	$69.18	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $95.50	Professional		$48.98	$50.12	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $100.00	Professional		$77.62	$100.00	$100.00