Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $144.50 / $186.75	Professional		$135.55	$144.50	$186.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $218.44 / $300.25	Professional		$174.75	$218.44	$300.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $147.13 / $233.67	Professional		$125.07	$147.13	$233.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.06 / $200.21 / $788.47	Facility		$132.06	$200.21	$788.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.70 / $269.42 / $719.32	Professional		$193.70	$269.42	$719.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.21 / $295.79 / $373.46	Facility		$208.21	$295.79	$373.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.21 / $299.94 / $472.67	Professional		$208.21	$299.94	$472.67
United Facility/Professional Professional Modifier Low / Median / High Price $182.19 / $215.15 / $408.88	Professional		$182.19	$215.15	$408.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $224.30 / $224.30	Professional		$190.70	$224.30	$224.30