Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.38 / $112.64 / $131.00	Professional		$100.38	$112.64	$131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $178.88 / $237.80	Professional		$138.00	$178.88	$237.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.56 / $154.79 / $231.78	Professional		$108.56	$154.79	$231.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.50 / $162.01 / $652.90	Facility		$104.50	$162.01	$652.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $203.81 / $750.24	Professional		$136.53	$203.81	$750.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $185.34 / $204.80 / $313.20	Facility		$185.34	$204.80	$313.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $215.02 / $343.35	Professional		$162.01	$215.02	$343.35
United Facility/Professional Professional Modifier Low / Median / High Price $130.33 / $156.28 / $288.20	Professional		$130.33	$156.28	$288.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $180.80 / $231.00	Professional		$153.69	$180.80	$231.00