Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $80.59 / $158.76	Facility		$45.23	$80.59	$158.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $45.23 / $49.75	Professional		$45.23	$45.23	$49.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $82.25 / $102.82	Professional		$52.04	$82.25	$102.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $67.92 / $143.97	Professional		$49.81	$67.92	$143.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $58.43 / $154.58	Facility		$45.28	$58.43	$154.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $45.23 / $104.14	Professional		$45.23	$45.23	$104.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $75.23 / $115.92	Facility		$42.13	$75.23	$115.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $75.23 / $118.39	Professional		$54.34	$75.23	$118.39
United Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $45.23 / $92.61	Professional		$45.23	$45.23	$92.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $45.28 / $45.28	Professional		$35.77	$45.28	$45.28