Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $59.42 / $122.67	Facility		$21.98	$59.42	$122.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $16.93 / $66.00	Professional		$14.51	$16.93	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $39.82 / $49.78	Professional		$25.19	$39.82	$49.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $38.47 / $113.48	Professional		$21.99	$38.47	$113.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $36.88 / $106.73	Facility		$21.99	$36.88	$106.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $22.65 / $60.69	Professional		$13.19	$22.65	$60.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $44.81 / $68.94	Facility		$26.94	$44.81	$68.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $44.81 / $63.02	Professional		$26.41	$44.81	$63.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $18.44 / $53.28	Professional		$13.19	$18.44	$53.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $21.99 / $21.99	Professional		$17.37	$21.99	$21.99