Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.52 / $118.52 / $163.69	Professional		$118.52	$118.52	$163.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $142.50 / $279.83	Professional		$114.00	$142.50	$279.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.15 / $150.00 / $622.79	Professional		$85.15	$150.00	$622.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $230.03 / $469.50	Professional		$123.77	$230.03	$469.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $197.11 / $279.83	Professional		$129.03	$197.11	$279.83
United Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $222.28 / $359.96	Professional		$112.90	$222.28	$359.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $140.50 / $165.30	Professional		$111.00	$140.50	$165.30