Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.87 / $120.74 / $120.74	Facility		$104.87	$120.74	$120.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $86.57 / $121.17	Professional		$60.05	$86.57	$121.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $158.55	Facility		$90.07	$90.07	$158.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $167.25 / $209.06	Professional		$90.07	$167.25	$209.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $163.16 / $195.88	Professional		$139.79	$163.16	$195.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.92 / $190.03 / $730.36	Facility		$91.92	$190.03	$730.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $95.88 / $196.94	Professional		$71.27	$95.88	$196.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.10 / $158.55 / $218.98	Facility		$158.10	$158.55	$218.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.85 / $185.22 / $303.00	Professional		$129.85	$185.22	$303.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $71.91 / $170.73	Professional		$71.27	$71.91	$170.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $141.26 / $141.26 / $141.26	Facility		$141.26	$141.26	$141.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $141.26 / $141.26	Professional		$111.60	$141.26	$141.26