Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.39 / $282.39 / $282.39	Facility		$282.39	$282.39	$282.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $282.39	Professional		$98.11	$98.11	$282.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $120.05 / $282.63	Professional		$96.04	$120.05	$282.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $177.58	Professional		$98.11	$98.11	$177.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.57 / $243.27 / $298.94	Facility		$93.57	$243.27	$298.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $100.40 / $282.63	Professional		$100.40	$100.40	$282.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $106.67 / $113.11 / $243.27	Facility		$106.67	$113.11	$243.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.11 / $120.48 / $282.63	Professional		$113.11	$120.48	$282.63
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $105.96	Professional		$98.11	$98.11	$105.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $100.40 / $100.40	Facility		$100.40	$100.40	$100.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $100.40 / $100.40	Professional		$79.31	$100.40	$100.40