Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $218.78	Facility		$158.49	$158.49	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $208.93	Professional		$89.13	$128.82	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Facility		$169.82	$169.82	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $380.19	Professional		$169.82	$309.03	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $295.12	Professional		$194.98	$263.03	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $263.03 / $1,122.02	Facility		$138.04	$263.03	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $380.19	Professional		$100.00	$151.36	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $309.03	Professional		$223.87	$234.42	$309.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $338.84	Professional		$234.42	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $331.13	Facility		$100.00	$154.88	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $194.98	Professional		$100.00	$109.65	$194.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $199.53	Professional		$158.49	$199.53	$199.53