Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $107.08 / $163.27	Facility		$60.00	$107.08	$163.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $46.20 / $162.16	Professional		$39.60	$46.20	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $109.02 / $136.27	Professional		$68.97	$109.02	$136.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $74.20 / $105.00	Professional		$41.36	$74.20	$105.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $72.00 / $132.60	Facility		$25.71	$72.00	$132.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $36.00 / $123.60	Professional		$14.05	$36.00	$123.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $78.00 / $131.49	Facility		$20.52	$78.00	$131.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $77.43 / $131.49	Professional		$26.19	$77.43	$131.49
United Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $36.00 / $75.55	Professional		$14.68	$36.00	$75.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $60.00 / $60.00	Professional		$47.40	$60.00	$60.00