Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.73 / $95.36 / $95.36	Facility		$83.73	$95.36	$95.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $61.08 / $96.21	Professional		$47.68	$61.08	$96.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $124.62	Facility		$90.38	$90.38	$124.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $132.00 / $165.00	Professional		$90.38	$132.00	$165.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $113.29 / $116.82	Professional		$97.31	$113.29	$116.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $147.28 / $532.02	Facility		$72.25	$147.28	$532.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $70.88 / $154.79	Professional		$54.16	$70.88	$154.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.25 / $124.62 / $154.49	Facility		$124.25	$124.62	$154.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $145.57 / $238.16	Professional		$102.06	$145.57	$238.16
United Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $60.35 / $148.01	Professional		$52.25	$60.35	$148.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $111.02 / $111.02 / $111.02	Facility		$111.02	$111.02	$111.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $111.02 / $111.02	Professional		$87.71	$111.02	$111.02