Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.70 / $86.08 / $122.13	Facility		$47.70	$86.08	$122.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $34.07 / $119.59	Professional		$29.21	$34.07	$119.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $80.29 / $100.37	Professional		$50.80	$80.29	$100.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $55.31 / $77.44	Professional		$44.25	$55.31	$77.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $53.15 / $116.46	Facility		$26.94	$53.15	$116.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $26.94 / $91.16	Professional		$10.68	$26.94	$91.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $61.70 / $96.98	Facility		$26.94	$61.70	$96.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $59.52 / $112.84	Professional		$34.52	$59.52	$112.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $26.55 / $61.45	Professional		$10.68	$26.55	$61.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $44.25 / $44.25	Professional		$34.96	$44.25	$44.25