Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $89.13	Facility		$75.86	$75.86	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $107.15	Professional		$50.12	$64.57	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $134.90	Facility		$81.28	$81.28	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $173.78	Professional		$81.28	$141.25	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $141.25	Professional		$102.33	$128.82	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $154.88 / $562.34	Facility		$77.62	$154.88	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $199.53	Professional		$53.70	$74.13	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $165.96	Professional		$131.83	$138.04	$165.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $199.53	Professional		$123.03	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $89.13 / $177.83	Facility		$41.69	$89.13	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $109.65	Professional		$53.70	$60.26	$109.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $114.82	Professional		$91.20	$114.82	$114.82