Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.77 / $60.15 / $85.24	Facility		$33.77	$60.15	$85.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $66.36 / $72.66	Professional		$20.68	$66.36	$72.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $56.79 / $70.98	Professional		$35.93	$56.79	$70.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $45.43 / $56.71	Professional		$26.63	$45.43	$56.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $40.43 / $117.71	Facility		$31.33	$40.43	$117.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $79.23	Professional		$18.80	$18.80	$79.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $57.30 / $70.69	Facility		$37.63	$57.30	$70.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $64.54 / $81.77	Professional		$37.60	$64.54	$81.77
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $64.15	Professional		$18.80	$18.80	$64.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $31.33 / $31.33	Professional		$24.75	$31.33	$31.33