Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.42 / $65.42 / $68.51	Facility		$65.42	$65.42	$68.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $56.56 / $84.10	Professional		$38.75	$56.56	$84.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $114.40	Facility		$58.84	$58.84	$114.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $109.13 / $136.41	Professional		$58.84	$109.13	$136.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $102.29 / $108.40	Professional		$89.45	$102.29	$108.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $125.57 / $476.85	Facility		$65.33	$125.57	$476.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $54.29 / $137.03	Professional		$46.98	$54.29	$137.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.07 / $114.40 / $143.04	Facility		$114.07	$114.40	$143.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $133.63 / $218.63	Professional		$92.16	$133.63	$218.63
United Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $51.89 / $122.41	Professional		$46.56	$51.89	$122.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $101.92 / $101.92 / $101.92	Facility		$101.92	$101.92	$101.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $101.92 / $101.92	Professional		$80.52	$101.92	$101.92