Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.36 / $115.84 / $115.84	Facility		$98.36	$115.84	$115.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $85.69 / $120.75	Professional		$56.01	$85.69	$120.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $183.56	Facility		$112.36	$112.36	$183.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $193.13 / $241.41	Professional		$112.36	$193.13	$241.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $150.88 / $166.87	Professional		$135.19	$150.88	$166.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $196.93 / $701.53	Facility		$104.83	$196.93	$701.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $83.25 / $218.88	Professional		$67.45	$83.25	$218.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $183.01 / $183.56 / $220.00	Facility		$183.01	$183.56	$220.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.86 / $205.37 / $350.77	Professional		$147.86	$205.37	$350.77
United Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $83.25 / $216.75	Professional		$66.84	$83.25	$216.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $163.53 / $163.53	Facility		$163.53	$163.53	$163.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $163.53 / $163.53	Professional		$129.19	$163.53	$163.53