Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $102.55 / $143.44	Facility		$52.71	$102.55	$143.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $49.55 / $142.47	Professional		$49.55	$49.55	$142.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $95.96 / $119.95	Professional		$60.71	$95.96	$119.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $76.43 / $95.41	Professional		$44.80	$76.43	$95.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $68.02 / $202.36	Facility		$52.71	$68.02	$202.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $31.63 / $123.36	Professional		$31.63	$31.63	$123.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $92.24 / $123.36	Facility		$63.31	$92.24	$123.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $98.22 / $123.36	Professional		$63.25	$98.22	$123.36
United Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $31.63 / $114.91	Professional		$31.63	$31.63	$114.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $52.71 / $52.71	Professional		$41.64	$52.71	$52.71