Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.60 / $168.60 / $372.67	Facility		$168.60	$168.60	$372.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $168.60	Professional		$134.88	$134.88	$168.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $232.98 / $232.98	Professional		$150.00	$232.98	$232.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $168.60 / $227.95	Facility		$1.00	$168.60	$227.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $144.72	Professional		$140.50	$140.50	$144.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.00 / $168.75	Facility		$0.90	$1.00	$168.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $168.75 / $168.75	Professional		$168.75	$168.75	$168.75
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $144.72	Professional		$140.50	$140.50	$144.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $140.50 / $140.50 / $140.50	Facility		$140.50	$140.50	$140.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $140.50	Professional		$140.50	$140.50	$140.50