Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $102.71 / $118.79	Professional		$94.25	$102.71	$118.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $174.38 / $229.98	Professional		$130.50	$174.38	$229.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $149.96 / $223.53	Professional		$102.06	$149.96	$223.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.24 / $151.77 / $617.20	Facility		$98.24	$151.77	$617.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $176.44 / $699.26	Professional		$118.34	$176.44	$699.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.68 / $193.51 / $278.12	Facility		$174.68	$193.51	$278.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $202.51 / $323.30	Professional		$151.77	$202.51	$323.30
United Facility/Professional Professional Modifier Low / Median / High Price $112.81 / $134.71 / $249.80	Professional		$112.81	$134.71	$249.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $170.40 / $224.30	Professional		$144.80	$170.40	$224.30