Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $224.00 / $307.52	Facility		$224.00	$224.00	$307.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $180.86 / $261.49	Professional		$164.42	$180.86	$261.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $209.39	Professional		$167.51	$167.51	$209.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $216.15 / $452.96	Professional		$164.42	$216.15	$452.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.08 / $201.60 / $356.16	Facility		$171.08	$201.60	$356.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $185.79 / $237.23	Professional		$164.42	$185.79	$237.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $197.31 / $237.23	Facility		$167.00	$197.31	$237.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $182.08 / $265.85	Professional		$143.30	$182.08	$265.85
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $185.79 / $235.16	Professional		$164.42	$185.79	$235.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $164.42	Facility		$164.42	$164.42	$164.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $164.42	Professional		$164.42	$164.42	$164.42