Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $140.36 / $214.02	Facility		$78.65	$140.36	$214.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $60.56 / $212.57	Professional		$51.91	$60.56	$212.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $142.96 / $178.70	Professional		$90.45	$142.96	$178.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $104.38 / $213.06	Professional		$78.65	$104.38	$213.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $94.46 / $201.34	Facility		$61.10	$94.46	$201.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $62.50 / $172.36	Professional		$33.17	$62.50	$172.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $110.11 / $172.36	Facility		$48.47	$110.11	$172.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $103.34 / $172.36	Professional		$35.47	$103.34	$172.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $47.19 / $178.43	Professional		$33.17	$47.19	$178.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $78.65 / $78.65	Professional		$62.13	$78.65	$78.65