Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $94.51 / $191.43	Facility		$37.25	$94.51	$191.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $19.61 / $47.11	Professional		$14.07	$19.61	$47.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $46.35 / $57.94	Professional		$29.32	$46.35	$57.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $44.57 / $90.39	Professional		$25.47	$44.57	$90.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $39.19 / $121.47	Facility		$25.47	$39.19	$121.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $25.47 / $66.48	Professional		$15.28	$25.47	$66.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $51.91 / $79.84	Facility		$31.19	$51.91	$79.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $51.91 / $72.95	Professional		$30.59	$51.91	$72.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $21.34 / $64.41	Professional		$15.28	$21.34	$64.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $25.47 / $25.47	Professional		$20.12	$25.47	$25.47