Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $151.71 / $402.39	Facility		$71.45	$151.71	$402.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $63.85 / $301.00	Professional		$47.85	$63.85	$301.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $112.93 / $141.16	Professional		$71.45	$112.93	$141.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $93.21 / $219.86	Professional		$68.34	$93.21	$219.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $81.59 / $295.17	Facility		$61.98	$81.59	$295.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $62.14 / $162.19	Professional		$37.28	$62.14	$162.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.62 / $118.53 / $187.81	Facility		$74.62	$118.53	$187.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $118.53 / $162.19	Professional		$74.56	$118.53	$162.19
United Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $38.79 / $142.91	Professional		$37.28	$38.79	$142.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $62.14 / $62.14	Professional		$49.09	$62.14	$62.14