Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $109.28 / $606.26	Facility		$40.75	$109.28	$606.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $31.38 / $81.84	Professional		$26.90	$31.38	$81.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $73.77 / $92.21	Professional		$46.67	$73.77	$92.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $71.31 / $155.61	Professional		$40.75	$71.31	$155.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $68.33 / $194.61	Facility		$40.75	$68.33	$194.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $41.97 / $111.94	Professional		$24.45	$41.97	$111.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $83.03 / $127.75	Facility		$49.91	$83.03	$127.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $83.03 / $116.76	Professional		$48.94	$83.03	$116.76
United Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $34.15 / $93.73	Professional		$24.45	$34.15	$93.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $40.75 / $40.75	Professional		$32.19	$40.75	$40.75