Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $132.13 / $237.47	Facility		$60.26	$132.13	$237.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $43.04 / $350.43	Professional		$36.89	$43.04	$350.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $101.84 / $127.30	Professional		$64.43	$101.84	$127.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $97.81 / $147.40	Professional		$55.89	$97.81	$147.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $72.66 / $265.48	Facility		$55.89	$72.66	$265.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $55.89 / $152.94	Professional		$33.53	$55.89	$152.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.64 / $113.85 / $175.22	Facility		$56.64	$113.85	$175.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $113.85 / $152.94	Professional		$67.06	$113.85	$152.94
United Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $45.63 / $128.55	Professional		$33.53	$45.63	$128.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $55.89 / $55.89	Professional		$44.15	$55.89	$55.89