Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $151.36 / $223.87	Facility		$61.66	$151.36	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $186.21	Professional		$52.48	$67.61	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $194.98	Professional		$97.72	$154.88	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $112.20 / $151.36	Professional		$16.22	$112.20	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $81.28 / $177.83	Facility		$13.49	$81.28	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $47.86 / $162.18	Professional		$5.25	$47.86	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $97.72 / $104.71	Professional		$10.47	$97.72	$104.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $177.83	Facility		$81.28	$81.28	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $47.86 / $83.18	Professional		$5.25	$47.86	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $81.28	Professional		$63.10	$81.28	$81.28