Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $66.52 / $93.05	Facility		$34.19	$66.52	$93.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $26.33 / $26.33	Professional		$22.57	$26.33	$26.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $62.02 / $77.52	Professional		$39.24	$62.02	$77.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $49.58 / $61.88	Professional		$29.06	$49.58	$61.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $44.45 / $137.91	Facility		$34.19	$44.45	$137.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $21.04 / $86.47	Professional		$20.51	$21.04	$86.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $66.75 / $98.97	Facility		$41.06	$66.75	$98.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $68.05 / $89.24	Professional		$41.03	$68.05	$89.24
United Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $34.19	Facility		$34.19	$34.19	$34.19
United Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $21.04 / $76.43	Professional		$20.51	$21.04	$76.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $34.19 / $34.19	Professional		$27.01	$34.19	$34.19