Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.92 / $134.08 / $187.55	Facility		$68.92	$134.08	$187.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $53.07 / $186.28	Professional		$45.49	$53.07	$186.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $125.34 / $156.66	Professional		$79.30	$125.34	$156.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $103.38 / $255.13	Professional		$75.81	$103.38	$255.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $88.93 / $318.08	Facility		$64.44	$88.93	$318.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $62.03 / $174.30	Professional		$41.35	$62.03	$174.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $141.97 / $318.08	Facility		$82.77	$141.97	$318.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $136.93 / $175.75	Professional		$82.70	$136.93	$175.75
United Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $48.62 / $158.52	Professional		$41.35	$48.62	$158.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $68.92 / $68.92	Professional		$54.45	$68.92	$68.92