Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.65 / $446.65 / $446.65	Facility		$446.65	$446.65	$446.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $446.65	Professional		$161.62	$161.62	$446.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $215.16 / $331.40	Professional		$172.13	$215.16	$331.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $161.62 / $292.52	Professional		$150.00	$161.62	$292.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $278.58 / $467.20	Facility		$164.84	$278.58	$467.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $164.84 / $446.70	Professional		$164.84	$164.84	$446.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $195.86 / $202.70 / $446.70	Facility		$195.86	$202.70	$446.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $197.80 / $202.70 / $446.70	Professional		$197.80	$202.70	$446.70
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $205.26	Professional		$161.62	$161.62	$205.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $164.84 / $164.84	Facility		$164.84	$164.84	$164.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $164.84 / $164.84	Professional		$130.22	$164.84	$164.84