Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $91.20 / $213.09	Facility		$40.26	$91.20	$213.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $36.57 / $161.83	Professional		$17.03	$36.57	$161.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $47.00 / $58.75	Professional		$29.74	$47.00	$58.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $45.17 / $94.53	Professional		$25.81	$45.17	$94.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $40.03 / $123.84	Facility		$25.81	$40.03	$123.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.81 / $67.36	Professional		$15.49	$25.81	$67.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $52.58 / $80.91	Facility		$31.62	$52.58	$80.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $52.58 / $73.95	Professional		$31.00	$52.58	$73.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.65 / $62.52	Professional		$15.49	$21.65	$62.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $25.81 / $25.81	Professional		$20.39	$25.81	$25.81