Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.27 / $176.27 / $176.27	Facility		$176.27	$176.27	$176.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $176.27 / $518.34	Professional		$141.38	$176.27	$518.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $138.75 / $173.44	Professional		$138.75	$138.75	$173.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $263.00 / $271.23	Professional		$150.00	$263.00	$271.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $134.85 / $176.27	Facility		$102.08	$134.85	$176.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $166.13 / $176.27	Professional		$111.02	$166.13	$176.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $111.53 / $153.77	Facility		$102.08	$111.53	$153.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $111.53 / $147.94	Professional		$80.50	$111.53	$147.94
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $166.13 / $176.27	Professional		$147.02	$166.13	$176.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $147.02 / $147.02 / $147.02	Facility		$147.02	$147.02	$147.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $147.02 / $147.02	Professional		$147.02	$147.02	$147.02