Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.95 / $182.95 / $311.64	Facility		$182.95	$182.95	$311.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $182.95	Professional		$140.99	$140.99	$182.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $140.31 / $171.00	Professional		$136.80	$140.31	$171.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $140.99 / $286.35	Professional		$111.60	$140.99	$286.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $161.11 / $206.75	Facility		$140.43	$161.11	$206.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $154.47 / $177.43	Professional		$140.43	$154.47	$177.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.11 / $204.72 / $320.73	Facility		$161.11	$204.72	$320.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $155.59 / $161.11 / $204.72	Professional		$155.59	$161.11	$204.72
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $167.78	Professional		$140.99	$140.99	$167.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $140.43 / $140.43	Facility		$140.43	$140.43	$140.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $140.43 / $140.43	Professional		$140.43	$140.43	$140.43