Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $81.83 / $134.40	Facility		$41.64	$81.83	$134.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $31.01 / $57.93	Professional		$15.08	$31.01	$57.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $58.06 / $79.86	Professional		$32.02	$58.06	$79.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $35.89 / $78.04	Professional		$13.78	$35.89	$78.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.38 / $66.33 / $1,151.00	Facility		$34.38	$66.33	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $59.86 / $121.71	Professional		$33.92	$59.86	$121.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $59.67 / $88.67	Facility		$36.84	$59.67	$88.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $52.07 / $79.23	Professional		$32.02	$52.07	$79.23
United Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $1,026.00 / $1,966.00	Facility		$169.25	$1,026.00	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $64.84 / $93.43	Professional		$33.01	$64.84	$93.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $43.21 / $64.40	Professional		$29.40	$43.21	$64.40