Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.64 / $79.33 / $242.96	Facility		$31.64	$79.33	$242.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $29.35 / $187.00	Professional		$22.60	$29.35	$187.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $81.81 / $84.21	Facility		$79.44	$81.81	$84.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $53.53 / $66.91	Professional		$33.86	$53.53	$66.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $51.36 / $156.66	Professional		$29.35	$51.36	$156.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $50.05 / $82.10	Facility		$21.01	$50.05	$82.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $25.71 / $71.09	Professional		$17.61	$25.71	$71.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $33.83 / $82.10	Facility		$17.05	$33.83	$82.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $37.88 / $68.00	Professional		$20.57	$37.88	$68.00
United Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $29.35	Facility		$29.35	$29.35	$29.35
United Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $24.60 / $60.33	Professional		$17.61	$24.60	$60.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $29.35 / $29.35	Professional		$23.19	$29.35	$29.35