Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $81.59 / $576.96	Facility		$28.72	$81.59	$576.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $15.12 / $186.30	Professional		$15.12	$15.12	$186.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $35.90 / $44.88	Professional		$22.72	$35.90	$44.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $29.45 / $259.50	Professional		$19.63	$29.45	$259.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $33.47 / $93.24	Facility		$19.63	$33.47	$93.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $19.63 / $53.21	Professional		$11.78	$19.63	$53.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $39.99 / $61.00	Facility		$24.04	$39.99	$61.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $39.99 / $56.55	Professional		$23.58	$39.99	$56.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $16.45 / $47.55	Professional		$11.78	$16.45	$47.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $19.63 / $19.63	Professional		$15.51	$19.63	$19.63