Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $81.28	Facility		$70.79	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $95.50	Professional		$43.65	$56.23	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $147.91	Facility		$66.07	$66.07	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $147.91	Professional		$66.07	$117.49	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $147.91	Professional		$102.33	$134.90	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $147.91 / $537.03	Facility		$87.10	$147.91	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $218.78	Professional		$51.29	$75.86	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $169.82	Professional		$144.54	$147.91	$169.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $218.78	Professional		$117.49	$218.78	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $67.61 / $165.96	Facility		$38.90	$67.61	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $114.82	Professional		$50.12	$64.57	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $123.03	Professional		$97.72	$123.03	$123.03