Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $73.39 / $342.17	Facility		$43.39	$73.39	$342.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $29.05 / $236.00	Professional		$24.90	$29.05	$236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $68.54 / $85.68	Professional		$43.37	$68.54	$85.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $56.60 / $294.29	Professional		$41.50	$56.60	$294.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $45.31 / $100.74	Facility		$15.55	$45.31	$100.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $48.37	Professional		$7.23	$7.23	$48.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $49.05 / $77.72	Facility		$24.56	$49.05	$77.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $26.41 / $66.03	Professional		$18.23	$26.41	$66.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $37.72	Professional		$7.23	$7.23	$37.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $37.72 / $37.72	Professional		$29.81	$37.72	$37.72