Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.11 / $69.79 / $107.94	Facility		$30.11	$69.79	$107.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $30.11 / $105.69	Professional		$25.81	$30.11	$105.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $71.16 / $88.94	Professional		$45.02	$71.16	$88.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $62.28 / $133.22	Professional		$39.11	$62.28	$133.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $49.67 / $122.48	Facility		$39.11	$49.67	$122.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $38.51 / $89.95	Professional		$21.35	$38.51	$89.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $65.63 / $90.88	Facility		$31.19	$65.63	$90.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $61.35 / $90.88	Professional		$22.14	$61.35	$90.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $23.47 / $72.34	Professional		$21.35	$23.47	$72.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.11 / $39.11	Professional		$30.90	$39.11	$39.11