Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $96.10 / $188.13	Professional		$69.13	$96.10	$188.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $140.52	Professional		$20.93	$20.93	$140.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $198.22 / $254.15	Professional		$149.26	$198.22	$254.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $96.10 / $162.41	Facility		$96.10	$96.10	$162.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $140.52 / $140.52	Professional		$140.52	$140.52	$140.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.52 / $140.52 / $140.52	Facility		$140.52	$140.52	$140.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $140.52 / $140.52	Professional		$140.52	$140.52	$140.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $74.00 / $74.00	Professional		$58.46	$74.00	$74.00