Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.07 / $289.92 / $490.74	Facility		$231.07	$289.92	$490.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $2,056.54	Professional		$131.16	$131.16	$2,056.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.61 / $133.61 / $133.61	Facility		$133.61	$133.61	$133.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $154.99 / $170.95	Professional		$136.76	$154.99	$170.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $239.43 / $840.26	Professional		$131.16	$239.43	$840.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.04 / $158.44 / $392.50	Facility		$132.04	$158.44	$392.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $145.24 / $175.52	Professional		$132.04	$145.24	$175.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.64 / $175.52 / $287.33	Facility		$121.64	$175.52	$287.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $161.10 / $287.33	Professional		$133.38	$161.10	$287.33
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $135.09 / $156.08	Professional		$131.16	$135.09	$156.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $132.04 / $132.04 / $132.04	Facility		$132.04	$132.04	$132.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $132.04 / $132.04	Professional		$132.04	$132.04	$132.04