Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $107.62 / $144.22	Facility		$54.82	$107.62	$144.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $39.15 / $137.44	Professional		$33.57	$39.15	$137.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $92.04 / $115.06	Professional		$58.23	$92.04	$115.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $76.29 / $111.14	Professional		$50.86	$76.29	$111.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $61.44 / $135.80	Facility		$35.47	$61.44	$135.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $50.86 / $104.77	Professional		$11.35	$50.86	$104.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $75.43 / $111.46	Facility		$41.57	$75.43	$111.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $72.45 / $111.46	Professional		$50.86	$72.45	$111.46
United Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $30.52 / $61.03	Professional		$11.35	$30.52	$61.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $50.86 / $50.86	Professional		$40.18	$50.86	$50.86