Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $80.06	Professional		$80.06	$80.06	$80.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.73 / $205.37 / $205.37	Professional		$180.73	$205.37	$205.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $199.38 / $249.03	Professional		$162.40	$199.38	$249.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $135.30 / $358.46	Facility		$80.06	$135.30	$358.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $182.07 / $205.37	Professional		$175.50	$182.07	$205.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.50 / $205.37 / $205.37	Facility		$200.50	$205.37	$205.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $195.10 / $205.37	Professional		$175.50	$195.10	$205.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $147.30 / $147.30	Professional		$116.37	$147.30	$147.30