Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.08 / $173.08 / $263.26	Facility		$173.08	$173.08	$263.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $154.82 / $236.21	Professional		$140.75	$154.82	$236.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $148.76 / $179.25	Professional		$143.40	$148.76	$179.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.36 / $182.98 / $356.16	Professional		$136.36	$182.98	$356.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.50 / $168.90 / $235.07	Facility		$108.50	$168.90	$235.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $167.60 / $211.13	Professional		$144.47	$167.60	$211.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.46 / $168.90 / $211.13	Facility		$160.46	$168.90	$211.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $168.90 / $265.85	Professional		$143.30	$168.90	$265.85
United Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $163.26 / $173.08	Professional		$144.47	$163.26	$173.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $140.75	Facility		$140.75	$140.75	$140.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $140.75	Professional		$140.75	$140.75	$140.75