Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $130.69	Professional		$123.00	$123.00	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $88.31 / $139.75	Professional		$7.13	$88.31	$139.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $86.03 / $200.00	Professional		$50.10	$86.03	$200.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $153.75 / $202.95	Facility		$72.31	$153.75	$202.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $128.13 / $256.26	Professional		$112.75	$128.13	$256.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $88.31 / $139.75	Facility		$69.73	$88.31	$139.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $88.31 / $139.75	Professional		$7.13	$88.31	$139.75
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $138.38	Professional		$128.13	$128.13	$138.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $5.94 / $5.94	Facility		$5.94	$5.94	$5.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.94 / $5.94	Professional		$4.69	$5.94	$5.94