Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $104.71 / $154.88	Facility		$41.69	$104.71	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $134.90	Professional		$36.31	$46.77	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $134.90	Professional		$79.43	$107.15	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $239.88	Professional		$61.66	$97.72	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $147.91	Facility		$54.95	$66.07	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $128.82	Professional		$33.11	$50.12	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $72.44	Professional		$66.07	$66.07	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $123.03	Facility		$54.95	$54.95	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $120.23	Professional		$33.11	$33.11	$120.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $54.95	Professional		$43.65	$54.95	$54.95