Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $152.27 / $273.70	Facility		$69.44	$152.27	$273.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $49.60 / $174.10	Professional		$42.51	$49.60	$174.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $116.85 / $146.06	Professional		$73.93	$116.85	$146.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $112.72 / $334.29	Professional		$64.41	$112.72	$334.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $99.44 / $201.93	Facility		$64.41	$99.44	$201.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $64.41 / $176.23	Professional		$38.65	$64.41	$176.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $131.22 / $201.93	Facility		$78.89	$131.22	$201.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $131.22 / $185.56	Professional		$77.34	$131.22	$185.56
United Facility/Professional Facility Modifier Low / Median / High Price $96.62 / $96.62 / $96.62	Facility		$96.62	$96.62	$96.62
United Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $52.59 / $148.13	Professional		$38.65	$52.59	$148.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $64.41 / $64.41	Professional		$50.88	$64.41	$64.41