Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $83.18 / $128.82	Facility		$33.11	$83.18	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $87.10	Professional		$28.84	$38.02	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $104.71	Professional		$63.10	$83.18	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $251.19	Professional		$43.65	$79.43	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $57.54 / $138.04	Facility		$43.65	$57.54	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $114.82	Professional		$26.30	$52.48	$114.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $72.44	Professional		$52.48	$56.23	$72.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $97.72	Facility		$43.65	$43.65	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $107.15	Professional		$26.30	$37.15	$107.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $43.65	Professional		$34.67	$43.65	$43.65