Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.30 / $119.66 / $169.74	Facility		$66.30	$119.66	$169.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $47.36 / $166.23	Professional		$40.59	$47.36	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $111.63 / $139.54	Professional		$70.62	$111.63	$139.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $90.61 / $138.15	Professional		$61.50	$90.61	$138.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.09 / $73.87 / $166.16	Facility		$53.09	$73.87	$166.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $55.35 / $141.44	Professional		$28.80	$55.35	$141.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $93.10 / $134.78	Facility		$42.08	$93.10	$134.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $86.00 / $134.78	Professional		$58.90	$86.00	$134.78
United Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $36.90 / $154.90	Professional		$28.80	$36.90	$154.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $61.50 / $61.50	Professional		$48.59	$61.50	$61.50