Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $67.61 / $128.82	Professional		$15.14	$67.61	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $138.04 / $239.88	Professional		$36.31	$138.04	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $91.20 / $251.19	Professional		$16.22	$91.20	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $138.04 / $295.12	Professional		$51.29	$138.04	$295.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $162.18 / $218.78	Professional		$39.81	$162.18	$218.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $134.90 / $218.78	Professional		$29.51	$134.90	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $60.26 / $194.98	Professional		$18.20	$60.26	$194.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $177.83	Professional		$30.20	$35.48	$177.83