Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.01 / $120.01 / $127.06	Facility		$120.01	$120.01	$127.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $92.66 / $155.09	Professional		$69.37	$92.66	$155.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $189.02	Facility		$104.24	$104.24	$189.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $200.25 / $250.31	Professional		$104.24	$200.25	$250.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $171.84 / $178.68	Professional		$163.25	$171.84	$178.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.95 / $220.81 / $804.26	Facility		$107.95	$220.81	$804.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $88.96 / $234.38	Professional		$76.97	$88.96	$234.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $188.48 / $189.02 / $234.38	Facility		$188.48	$189.02	$234.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $220.81 / $361.23	Professional		$154.81	$220.81	$361.23
United Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $85.73 / $202.26	Professional		$76.28	$85.73	$202.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $168.40 / $168.40	Facility		$168.40	$168.40	$168.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $168.40 / $168.40	Professional		$133.04	$168.40	$168.40