Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $138.07 / $138.07	Facility		$138.07	$138.07	$138.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $192.00	Professional		$73.81	$73.81	$192.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $175.00	Professional		$140.00	$140.00	$175.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $133.61 / $175.34	Professional		$81.20	$133.61	$175.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $88.58 / $113.72	Facility		$77.70	$88.58	$113.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $83.42 / $95.96	Professional		$73.81	$83.42	$95.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.58 / $88.58 / $113.68	Facility		$88.58	$88.58	$113.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $88.58 / $110.72	Professional		$84.15	$88.58	$110.72
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $83.42 / $87.11	Professional		$73.81	$83.42	$87.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Facility		$73.81	$73.81	$73.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Professional		$73.81	$73.81	$73.81