Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $125.49 / $195.00	Facility		$69.20	$125.49	$195.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $49.43 / $173.50	Professional		$42.37	$49.43	$173.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $116.20 / $145.25	Professional		$73.51	$116.20	$145.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $96.29 / $215.98	Professional		$64.19	$96.29	$215.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.11 / $78.67 / $190.34	Facility		$53.11	$78.67	$190.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $59.84 / $147.63	Professional		$32.64	$59.84	$147.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $108.27 / $140.68	Facility		$48.47	$108.27	$140.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $107.71 / $163.68	Professional		$48.47	$107.71	$163.68
United Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $38.51 / $118.75	Professional		$32.64	$38.51	$118.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $64.19 / $64.19	Professional		$50.71	$64.19	$64.19