Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $63.14 / $84.62	Facility		$30.73	$63.14	$84.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $21.95 / $183.26	Professional		$18.80	$21.95	$183.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $51.57 / $64.45	Professional		$32.63	$51.57	$64.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $48.69 / $161.59	Professional		$28.50	$48.69	$161.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $36.78 / $95.80	Facility		$28.50	$36.78	$95.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $28.50 / $65.55	Professional		$16.69	$28.50	$65.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $50.00 / $72.20	Facility		$24.39	$50.00	$72.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $47.97 / $72.20	Professional		$30.11	$47.97	$72.20
United Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $17.10 / $62.13	Professional		$16.69	$17.10	$62.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $28.50 / $28.50	Professional		$22.52	$28.50	$28.50