Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $112.54 / $112.54	Facility		$96.53	$112.54	$112.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $83.25 / $118.50	Professional		$54.60	$83.25	$118.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $148.94	Facility		$106.22	$106.22	$148.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $187.88 / $234.84	Professional		$106.22	$187.88	$234.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $152.72 / $161.97	Professional		$128.88	$152.72	$161.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.07 / $174.00 / $729.99	Facility		$85.07	$174.00	$729.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $74.78 / $185.01	Professional		$64.73	$74.78	$185.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.52 / $148.94 / $201.56	Facility		$148.52	$148.94	$201.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.99 / $174.00 / $284.64	Professional		$121.99	$174.00	$284.64
United Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $65.59 / $75.06	Facility		$49.98	$65.59	$75.06
United Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $67.55 / $177.61	Professional		$64.73	$67.55	$177.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $132.69 / $132.69	Facility		$132.69	$132.69	$132.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $132.69 / $132.69	Professional		$104.83	$132.69	$132.69