Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $44.27 / $162.00	Professional		$26.70	$44.27	$162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $42.19 / $72.68	Professional		$33.75	$42.19	$72.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $39.61 / $68.55	Professional		$25.26	$39.61	$68.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $62.15 / $103.96	Professional		$30.82	$62.15	$103.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $60.26 / $79.62	Professional		$39.29	$60.26	$79.62
United Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $41.09 / $83.60	Professional		$29.53	$41.09	$83.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $59.40 / $69.90	Professional		$46.93	$59.40	$69.90